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
Hospital & facility affiliations 3
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
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
- Avera Creighton Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NE, SD
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| R 210489-4 | MN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Avera St Anthonys Hospital | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Sacred Heart Health Services | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Avera St Anthonys Hospital | Current | Accepting new patients | |
| Avera St Anthonys Hospital | Current |
Accepting new patients | |
| Sacred Heart Health Services | Current | Accepting new patients | |
| Sacred Heart Health Services | Current |
Accepting new patients | |
| Niobrara Valley Hospital Corporation | Current |
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
- https://fhir-usa.unify.chbase.com/org/niobra-b6726789
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
{
"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
- Lisa A Beck
- Sarah Beck
- Juliet Sheralyn Beckel
- David R Becker
- Joseph Gerard Becker
- Michelle Debra Becker
- James M Beckley
- Bryce A Beckman
- Thomas J Beckman
- Kimberly M Beckstrom
All providers in Rochester, MN · Certified Registered Nurse Anesthetist in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 3, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.