Individual provider Active NPI

Marcus C Jurgensen, CRNA

  • Certified Registered Nurse Anesthetist
  • Lancaster, PA
National Provider Identifier
1356356083
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN506265L Issued in PA
Practice address
244 Whittier LN
Lancaster, PA 17602-4038
Phone
(717) 394-3839
NPI assigned
Jul 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN506265L PA Primary

Addresses

Primary practice location

244 Whittier LN
Lancaster, PA 17602-4038

Mailing address

601 Memory LN
York, PA 17402-2231
Phone (717) 851-1405

Other practice location 1

4150 Barrett Blvd Ste 100
Ephrata, PA 17522-8979
Phone (717) 859-5160

Other practice location 2

169 Martin Ave
Ephrata, PA 17522-1734
Phone (717) 733-0311

Other practice location 3

35 Erick Rd
Lancaster, PA 17601-3111
Phone (717) 690-0811

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040128000622 PA Practitioner - Certified Registered Nurse Anesthetist (Crna) 6103729199 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellspan Medical GroupGroup PAC ID 1951213115, 2,438 clinicians
Rgal Anesthesia Services LLCGroup PAC ID 7517130602, 126 clinicians

Practice addresses (Care Compare)

169 Martin Ave
Ephrata, PA 17522-1724
Phone (717) 733-0311

2104 Harrisburg Pike
Suite 300
Lancaster, PA 17601-2644
Phone (717) 544-3400

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Lehigh Anesthesia Associates, P.C. CurrentSince Apr 1, 2017 Accepting new patients
Wellspan Medical Group CurrentSince Mar 12, 2024 Accepting new patients
Ephrata Community Hospital Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2008 Accepting new patients
Ephrata Community Hospital CurrentSince Oct 1, 2008 Accepting new patients
Wellspan Medical Group Current Accepting new patients
Rgal Anesthesia Services LLC CurrentSince Jan 1, 2015 Accepting new patients
Prime Anesthesia Associates PC CurrentSince May 1, 2018 Accepting new patients
Wellspan Medical Group CurrentSince Mar 12, 2024 Accepting new patients

Locations

4150 Barrett Blvd
Ephrata, PA 17522
Phone (717) 738-5648

4150 Barrett Blvd
Ste 100
Ephrata, PA 17522
Phone (717) 859-5160

4140 Oregon Pike
Ephrata, PA 17522
Phone (717) 544-3400

169 Martin Ave
Ephrata, PA 17522
Phone (717) 733-0311

2104 Harrisburg Pike
Ste 300
Lancaster, PA 17601
Phone (717) 544-3400

35 Erick Rd
Lancaster, PA 17601
Phone (717) 690-0785

2112 Harrisburg Pike
Ste 202
Lancaster, PA 17601
Phone (717) 544-3500

810 Plaza Blvd
Ste 101
Lancaster, PA 17601
Phone (717) 431-2368

875 Norman Dr
Lebanon, PA 17042
Phone (717) 272-2010

1600 S George St
York, PA 17403
Phone (717) 848-3615

601 Memory Ln
York, PA 17402
Phone (717) 851-6670

25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250

Interoperability endpoints

  • Direct secure messaging: mjurgensen11684@wellspan.direct-ci.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1356356083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 MEMORY LN",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174022231",
            "telephone_number": "717-851-1405",
            "fax_number": "717-851-6969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "244 WHITTIER LN",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176024038",
            "telephone_number": "717-394-3839"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4150 Barrett Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Ephrata",
            "state": "PA",
            "postal_code": "175228979",
            "country_code": "US",
            "telephone_number": "717-859-5160",
            "fax_number": "717-798-3935",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "169 Martin Ave",
            "address_purpose": "LOCATION",
            "city": "Ephrata",
            "state": "PA",
            "postal_code": "175221734",
            "country_code": "US",
            "telephone_number": "717-733-0311",
            "fax_number": "717-721-5861",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "35 Erick Rd",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "PA",
            "postal_code": "176013111",
            "country_code": "US",
            "telephone_number": "717-690-0811",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JURGENSEN",
        "first_name": "MARCUS",
        "middle_name": "C",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-30",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "RN506265L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.