Individual provider Active NPI

Jason Andrew Mancini, MSN, CRNA

  • Certified Registered Nurse Anesthetist
  • Vincennes, IN
National Provider Identifier
1528502572
Registry record updated Jan 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
112982 Issued in MI
Practice address
520 S 7TH St
Vincennes, IN 47591-1038
Phone
(812) 885-3204
NPI assigned
Dec 9, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2026

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 28226173A IN
Certified Registered Nurse Anesthetist 367500000X 112982 MI Primary

Addresses

Primary practice location

520 S 7TH St
Vincennes, IN 47591-1038

Mailing address

1424 E Rishel Rd
Sturgis, MI 49091-9729
Phone (269) 808-0905

Other practice location 1

1606 N 7th St
Union Hospital, Inc.
Terre Haute, IN 47804-2706
Phone (812) 238-7141

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170112001836 IN Practitioner - Certified Registered Nurse Anesthetist (Crna) 0244512952 Reassigns benefits to 9 organizations
I20190508000704 IL Practitioner - Certified Registered Nurse Anesthetist (Crna) 0244512952 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lakeshore Anesthesia PCGroup PAC ID 1951322353, 28 clinicians
Cep America - Anesthesia PCGroup PAC ID 3678897915, 849 clinicians
Northstar Anesthesia of Indiana LLCGroup PAC ID 1153576905, 130 clinicians
Iceland Anesthesia Management LLCGroup PAC ID 7618372996, 75 clinicians
Beacon Medical Group IncGroup PAC ID 1254243306, 575 clinicians

Practice addresses (Care Compare)

1500 S Lake Park Ave
Hobart, IN 46342-6638
Phone (219) 942-0551

1915 Lake Ave
Plymouth, IN 46563-9366
Phone (574) 948-4000

24 Joliet St
Dyer, IN 46311-1705
Phone (219) 865-2141

441 N Wabash Ave
Marion, IN 46952-2612
Phone (765) 660-6000

600 E Blvd
Elkhart, IN 46514-2483

600 E Blvd 4TH FL Hospitalists
BMG Hospital Specialties
Elkhart, IN 46514-2483
Phone (574) 647-3050

6913 N Main St
Granger, IN 46530-8039

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
112982MIMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Porter County Anesthesia Associates PC CurrentSince Mar 1, 2020 Accepting new patients
Cep America - Anesthesia PC CurrentSince Dec 15, 2025 Accepting new patients
Clinical Colleagues Inc Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2022 Accepting new patients
Northstar Anesthesia of Indiana II, LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2021 Accepting new patients
Redreef Anesthesia Associates Chartered Indiana LLC CurrentSince Apr 25, 2024 Accepting new patients
Northstar Anesthesia of Indiana LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 8, 2021 Accepting new patients
Beacon Medical Group Inc CurrentSince Jun 6, 2022 Accepting new patients
Ams Northern Indiana LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 7, 2022 Accepting new patients
Beacon Medical Group, Inc. Current Accepting new patients
St Luke'S Methodist Hospital Current Accepting new patients
Anesthesia Dynamics LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 29, 2023 Accepting new patients
Cep America - Anesthesia PC CurrentSince Dec 15, 2025 Accepting new patients
Clinical Colleagues Inc Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2022 Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

695 N Kellogg St
Galesburg, IL 61401
Phone (309) 343-8131

12750 Saint Francis Dr
Crown Point, IN 46307
Phone (219) 738-2100

9301 Connecticut Dr
Crown Point, IN 46307
Phone (219) 756-2100

12800 Mississippi Pkwy
Crown Point, IN 46307
Phone (219) 662-5560

24 Joliet St
Dyer, IN 46311
Phone (219) 864-2237

4411 Washington Ave
Ste 100
Evansville, IN 47714
Phone (313) 637-9861

6913 N Main St
Granger, IN 46530
Phone (574) 647-1500

1101 Michigan Ave
Logansport, IN 46947
Phone (574) 753-1475

8701 Broadway
Merrillville, IN 46410
Phone (219) 738-4926

5215 Holy Cross Pkwy
Mishawaka, IN 46545
Phone (574) 335-2443

1850 State St
New Albany, IN 47150
Phone (812) 944-7701

1915 Lake Ave
Plymouth, IN 46563
Phone (219) 936-3181

3630 Willowcreek Rd
Portage, IN 46368
Phone (219) 364-3000

85 E US Highway 6
Valparaiso, IN 46383
Phone (219) 983-5743

Interoperability endpoints

  • Direct secure messaging: jmancini902416@direct.unitypoint.org

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 and National Provider Directory roles.

View all 16

Hospital & facility affiliations 6

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": "1481241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767657600000",
    "number": "1528502572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1424 E RISHEL RD",
            "city": "STURGIS",
            "state": "MI",
            "postal_code": "490919729",
            "telephone_number": "269-808-0905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 S 7TH ST",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "475911038",
            "telephone_number": "812-885-3204"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1606 N 7th St",
            "address_2": "Union Hospital, Inc.",
            "address_purpose": "LOCATION",
            "city": "Terre Haute",
            "state": "IN",
            "postal_code": "478042706",
            "country_code": "US",
            "telephone_number": "812-238-7141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANCINI",
        "first_name": "JASON",
        "middle_name": "ANDREW",
        "name_prefix": "Mr.",
        "credential": "MSN, CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-12-09",
        "last_updated": "2026-01-06",
        "certification_date": "2026-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IN",
            "license": "28226173A",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MI",
            "license": "112982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vincennes, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2026; 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.