Wayne Berisford Janitschke Jr., CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

R116000-4 Issued in MN

Practice address

301 Becker Ave SW
Willmar, MN 56201-3302

Phone

(320) 235-4543

NPI assigned

Apr 19, 2006

Last updated

Sep 2, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• CCM Health

  • Critical Access Hospital
  • Montevideo, MN
  • NPI 1720086028
  Medicare reassignment NPD
• Ortonville Area Health Services

  • Critical Access Hospital Clinic/Center
  • Ortonville, MN
  • NPI 1477799765
  Medicare reassignment NPD
• Carris Health LLC

  • Multi-Specialty Clinic/Center
  • Willmar, MN
  • NPI 1598236408
  NPD
• CCM Health

  • Rural Health Clinic/Center
  • Milan, MN
  • NPI 1457132466
  NPD
• Minnesota Pathologists Chartered

  • Anatomic Pathology & Clinical Pathology Physician
  • Willmar, MN
  • NPI 1992851315
  NPD
• Ortonville Area Health Services

  • Family Medicine Physician
  • Ortonville, MN
  • NPI 1033785449
  NPD
• Ortonville Area Health Services

  • Critical Access Hospital
  • Ortonville, MN
  • NPI 1790783587
  NPD (past)

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409616000000",
    "number": "1427013606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3208 EAGLE RIDGE DR E",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "562018734",
            "telephone_number": "320-214-8166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 BECKER AVE SW",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "562013302",
            "telephone_number": "320-235-4543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANITSCHKE",
        "first_name": "WAYNE",
        "middle_name": "BERISFORD",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-19",
        "last_updated": "2014-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MN",
            "license": "R116000-4",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda A Jackson, DDS
• Jeanne Jacobs, LPCC, NCC
• Teresa Jaeger, LADC
• Shane Jahraus
• Heidi Jamma, LICSW
• Janning ENT Center, LLC
• Martin Heinz Janning, M.D.
• Madeline J Jarveis
• Gabrielle K Jenkins
• Tamra Jensen, LICSW

• Certified Registered Nurse Anesthetist in Willmar, MN
• Providers in Willmar, MN by specialty
• Certified Registered Nurse Anesthetist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.