Individual provider Active NPI

Jason D Klein, CRNA, MS

  • Certified Registered Nurse Anesthetist
  • Marshall, MN
National Provider Identifier
1477520542
Registry record updated Feb 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
R1402746 Issued in MN
Practice address
1521 Carlson St
Marshall, MN 56258-2626
Phone
(507) 532-1901
NPI assigned
Mar 7, 2006
Last updated
Feb 9, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X R1402746 MN Primary
Certified Registered Nurse Anesthetist 367500000X R027248 SD

Addresses

Primary practice location

1521 Carlson St
Marshall, MN 56258-2626

Mailing address

1407 Ridgeway Rd
Marshall, MN 56258-2153
Phone (507) 829-9487

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040511001284 MN Practitioner - Certified Registered Nurse Anesthetist (Crna) 7911996228 Reassigns benefits to 10 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Windom Area HospitalGroup PAC ID 7113911272, 21 clinicians
Avera MarshallGroup PAC ID 5799695227, 102 clinicians

Practice addresses (Care Compare)

2150 Hospital Dr
Windom, MN 56101-1287
Phone (507) 831-0618

300 S Bruce St
Marshall, MN 56258-1934
Phone (507) 537-9165

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse, Master of Science

State licenses

LicenseStateTypeSpecialty
1262MNMDNurse Practitioner
R1402746MNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Windom Area Hospital CurrentSince Sep 1, 2025 Accepting new patients
County of Murray CurrentSince Oct 27, 2019 Accepting new patients
CCM Health CurrentSince Jun 1, 2020 Accepting new patients
Avera Marshall CurrentSince Mar 1, 2000 Accepting new patients
Avera Marshall CurrentSince Mar 1, 2000 Accepting new patients
Avera Marshall Current Accepting new patients
County of Murray CurrentSince Oct 27, 2019 Accepting new patients
Avera Granite Falls Current Accepting new patients
Avera Granite Falls Nurse Anesthetist, Certified Registered CurrentSince May 11, 2024 Accepting new patients
CCM Health CurrentSince Jun 1, 2020 Accepting new patients
Avera Tyler Current Accepting new patients
Family Surgery Center, LLC Current Accepting new patients
Windom Area Hospital Current Accepting new patients
Family Surgery Center, LLC CurrentSince Dec 1, 2005 Accepting new patients
Sibley Medical Center Past Accepting new patients
Allina Health System Past Accepting new patients

Locations

345 10th Ave
Granite Falls, MN 56241
Phone (320) 564-3111

1521 Carlson St
Marshall, MN 56258
Phone (507) 532-1101

300 S Bruce St
Marshall, MN 56258
Phone (507) 532-9631

824 N 11th St
Montevideo, MN 56265
Phone (320) 269-8877

2042 Juniper Ave
Slayton, MN 56172
Phone (507) 836-1227

2150 Hospital Dr
Windom, MN 56101
Phone (507) 831-0618

Interoperability endpoints

  • Direct secure messaging: jklein523617@direct.centracare.com

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 2

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": "1141689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423440000000",
    "number": "1477520542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1407 RIDGEWAY RD",
            "city": "MARSHALL",
            "state": "MN",
            "postal_code": "562582153",
            "telephone_number": "507-829-9487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1521 CARLSON ST",
            "city": "MARSHALL",
            "state": "MN",
            "postal_code": "562582626",
            "telephone_number": "507-532-1901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEIN",
        "first_name": "JASON",
        "middle_name": "D",
        "credential": "CRNA, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-07",
        "last_updated": "2015-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MN",
            "license": "R1402746",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "SD",
            "license": "R027248",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marshall, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2015; 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.