Joshua Donald Becker, CRNA

Individual provider Active NPI Certified Registered Nurse Anesthetist · Rochester, MN

NPI 1649514647 · NPPES record last updated Apr 3, 2013

Key facts

NPI
1649514647
Entity type
Individual (NPI type 1)
Primary specialty
Certified Registered Nurse Anesthetist 367500000X
License
R 210489-4 (MN)
Practice address
200 1St St SW
Rochester, MN 55905-0001
Phone
(507) 284-2511
NPI assigned
Nov 15, 2012
Sex
Male
Sole proprietor
No

Organizations & group practices 11

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Avera St Anthonys Hospital (23 clinicians)

Practice addresses (Care Compare)

300 N 2ND St
O'Neill, NE 68763-1514
Phone (402) 336-2611

Hospital & facility affiliations

  • Avera St Anthony'S Hospital Hospital · O' Neill, NE · CCN 281329
  • Avera Creighton Hospital Hospital · Creighton, NE · CCN 281331

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in NE, SD

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20141029002679 NE Practitioner - Certified Registered Nurse Anesthetist (Crna) 1153566880 Reassigns benefits to 5 organizations
I20171116001816 SD Practitioner - Certified Registered Nurse Anesthetist (Crna) 1153566880 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
R 210489-4MNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Avera St Anthonys Hospital Nurse Anesthetist, Certified Registered Current
since Oct 13, 2014
Accepting new patients
Sacred Heart Health Services Nurse Anesthetist, Certified Registered Current
since Aug 21, 2017
Accepting new patients
Avera St Anthonys Hospital Current Accepting new patients
Avera St Anthonys Hospital Current
since Oct 13, 2014
Accepting new patients
Sacred Heart Health Services Current Accepting new patients
Sacred Heart Health Services Current
since Aug 21, 2017
Accepting new patients
Niobrara Valley Hospital Corporation Current
since Jul 24, 2023
Accepting new patients

Locations

401 S Fifth St
Lynch, NE 68746
Phone (402) 569-2451

300 N 2nd St
Oneill, NE 68763
Phone (402) 336-2900

501 Summit St
Yankton, SD 57078
Phone (605) 655-1201

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/niobra-b6726789

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X R 210489-4 MN Yes

Addresses

Primary practice location

200 1St St SW
Rochester, MN 55905-0001

Mailing address

200 1St St SW
Rochester, MN 55905-0001
Phone (507) 284-2511

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 3, 2013.

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364947200000",
    "number": "1649514647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 1ST ST SW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559050001",
            "telephone_number": "507-284-2511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 1ST ST SW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559050001",
            "telephone_number": "507-284-2511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKER",
        "first_name": "JOSHUA",
        "middle_name": "DONALD",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-11-15",
        "last_updated": "2013-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MN",
            "license": "R 210489-4",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, MN

All providers in Rochester, MN · Certified Registered Nurse Anesthetist in Minnesota

Sources for this page

Verify at the official NPI Registry.