Individual provider Active NPI

Jody M Krager, CRNA

  • Certified Registered Nurse Anesthetist
  • Chandler, AZ
National Provider Identifier
1528309697
Registry record updated May 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
CRNA0919 Issued in AZ
Practice address
875 S Dobson Rd
Chandler, AZ 85224-5710
Phone
(480) 899-9800
Fax
(480) 899-2994
NPI assigned
Mar 14, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2021

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 MNCRNA2140 MN
Certified Registered Nurse Anesthetist 367500000X CRNA0919 AZ Primary

Addresses

Primary practice location

875 S Dobson Rd
Chandler, AZ 85224-5710

Mailing address

891 E Peach Tree PL
Chandler, AZ 85249-5609
Phone (480) 899-9800

Other practice location 1

3701 12th St N Ste 202
Saint Cloud, MN 56303-2253
Phone (320) 251-2700

Other practice location 2

CentraCare Clinic Anesthesia
3701 12th Street North #202
St Cloud, MN 56303-2253
Phone (320) 258-3090

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130508000128 AZ Practitioner - Certified Registered Nurse Anesthetist (Crna) 1153568399 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
95.75 of 100Reported as group
Promoting interoperability
95
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MNCRNA2140MNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Partners of Arizona LLC CurrentSince May 4, 2020 Accepting new patients
Valley Anesthesiology Consultants, Inc. CurrentSince Jan 12, 2014 Accepting new patients
Southeast Valley Gastroenterology Consultants, P.C. CurrentSince Sep 1, 2017 Accepting new patients
Banner-University Medical Group Past Accepting new patients

Locations

875 S Dobson Rd
Chandler, AZ 85224
Phone (480) 899-9800

1500 S Dobson Rd
Ste 101
Mesa, AZ 85202
Phone (480) 306-6098

1850 N Central Ave
Ste 1600
Phoenix, AZ 85004
Phone (602) 744-4760

4605 E Elwood St
Ste 500
Phoenix, AZ 85040
Phone (469) 998-7443

645 E Missouri Ave
Ste 300
Phoenix, AZ 85012
Phone (602) 262-8917

2800 E Ajo Way
Tucson, AZ 85713
Phone (520) 294-4471

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.

NPI Registry JSON

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

{
    "created_epoch": "1363219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621468800000",
    "number": "1528309697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "891 E PEACH TREE PL",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852495609",
            "telephone_number": "480-899-9800",
            "fax_number": "480-899-2994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 S DOBSON RD",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852245710",
            "telephone_number": "480-899-9800",
            "fax_number": "480-899-2994"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3701 12th St N Ste 202",
            "address_purpose": "LOCATION",
            "city": "Saint Cloud",
            "state": "MN",
            "postal_code": "563032253",
            "country_code": "US",
            "telephone_number": "320-251-2700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "CentraCare Clinic Anesthesia",
            "address_2": "3701 12th Street North #202",
            "address_purpose": "LOCATION",
            "city": "St Cloud",
            "state": "MN",
            "postal_code": "563032253",
            "country_code": "US",
            "telephone_number": "320-258-3090",
            "fax_number": "320-258-3095",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRAGER",
        "first_name": "JODY",
        "middle_name": "M",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-14",
        "last_updated": "2021-05-20",
        "certification_date": "2021-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MN",
            "license": "MNCRNA2140",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AZ",
            "license": "CRNA0919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2021; 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.