Jesse Lee Berndt

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

178125 Issued in WI

Practice address

3819 E Lunham Ave
Cudahy, WI 53110-1242

Phone

(414) 573-4716

NPI assigned

Sep 23, 2021

Sex

Male

Sole proprietor

Yes

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.

• Vituity-Wisconsin Anesthesia SC

  • Anesthesiology Physician
  • Pleasant Prairie, WI
  • NPI 1821831975

  WI

  Medicare reassignment Care Compare group NPD
• Vituity-Wisconsin Anesthesia SC

  • Anesthesiology Physician
  • Brookfield, WI
  • NPI 1558195719
  NPD
• Vituity-Wisconsin Anesthesia SC

  • Anesthesiology Physician
  • Milwaukee, WI
  • NPI 1801620067
  NPD

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

• Ascension SE Wisconsin Hospital, Inc

  • General Acute Care Hospital
  • Milwaukee, WI
  • NPI 1427007384

  Hospital

  Care Compare affiliation
• Ascension SE Wisconsin Hospital, Inc

  • Rehabilitation Hospital Unit
  • Brookfield, WI
  • NPI 1861417362

  Hospital

  Care Compare affiliation
• Columbia St. Mary'S Hospital Milwaukee, Inc.

  • General Acute Care Hospital
  • Milwaukee, WI
  • NPI 1871656082

  Hospital

  Care Compare affiliation

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vituity-Wisconsin Anesthesia SC 144 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ascension Columbia St Marys Hospital Milwaukee Hospital, Milwaukee, WI, CCN 520051
• Ascension SE Wisconsin Hospital Hospital, Milwaukee, WI, CCN 520136

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 28, 2023.

{
    "created_epoch": "1632355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701129600000",
    "number": "1376214809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3819 E LUNHAM AVE",
            "city": "CUDAHY",
            "state": "WI",
            "postal_code": "531101242",
            "telephone_number": "414-573-4716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3819 E LUNHAM AVE",
            "city": "CUDAHY",
            "state": "WI",
            "postal_code": "531101242",
            "telephone_number": "414-573-4716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNDT",
        "first_name": "JESSE",
        "middle_name": "LEE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-09-23",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "178125",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WI",
            "license": "178125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aurora Health Care Metro, Inc.
• Aurora Medical Group, Inc.
• Fredrick C Austermann, D.D.S
• Hailey Alexandria Babcock, SLP
• Nadin Basuony
• Stephanie Nicole Blaha, PA-C
• Kristina Marie Bleeke, OTR
• Brenda Blunt, APNP
• Broadstep-Wisconsin, Inc.
• Thomas J Broihier, MD

• All providers in Cudahy, WI
• Certified Registered Nurse Anesthetist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2023; 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.