Active NPI
Jake T Elwood, DNP, APRN, CRNA
- Certified Registered Nurse Anesthetist
- Rochester, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 2938
- Practice address
- 1650 4TH St SE
Rochester, MN 55904-4717 - Phone
- (507) 529-6600
- NPI assigned
- Jan 23, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 2938 | MN | Primary |
Addresses
Primary practice location
1650 4TH St SE
Rochester, MN 55904-4717
Mailing address
1650 4TH St SE
Rochester, MN 55904-4717
Phone (507) 529-6600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240223001447 | MN | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 8426492919 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1650 4TH St SE
Rochester, MN 55904-4700
Phone (507) 285-8485
Hospital & facility affiliations
- Olmsted Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mankato Surgical Center, L.L.C. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Olmsted Medical Center | Current | Accepting new patients | |
| Winona Health Services | Current | Accepting new patients | |
| Olmsted Medical Center | Current | Accepting new patients |
Locations
1411 Premier Dr
Mankato, MN 56001
Phone (507) 388-6000
132 17th Ave NW
Ste 132
Rochester, MN 55901
Phone (507) 292-7411
210 9th St SE
Rochester, MN 55904
Phone (507) 529-6616
1650 4th St SE
Rochester, MN 55904
Phone (507) 285-8485
855 Mankato Ave
Winona, MN 55987
Phone (507) 454-3680
Organizations & group practices 4
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.
-
- Ambulatory Surgical Clinic/Center
- Mankato, MN
- NPI 1720161615
MN, Nurse Anesthetist, Certified Registered
-
- General Acute Care Hospital
- Rochester, MN
- NPI 1538112131
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1705968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709596800000",
"number": "1497516736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1650 4TH ST SE",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "559044717",
"telephone_number": "507-529-6600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1650 4TH ST SE",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "559044717",
"telephone_number": "507-529-6600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELWOOD",
"first_name": "JAKE",
"middle_name": "T",
"credential": "DNP, APRN, CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-01-23",
"last_updated": "2024-03-05",
"certification_date": "2024-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MN",
"license": "2938",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rochester, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.