Active NPI
Jay Biesenthal, CRNA
- Certified Registered Nurse Anesthetist
- South Bend, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 28230243A
- Practice address
- 211 N Eddy St
South Bend, IN 46617-2808 - Phone
- (574) 234-8161
- NPI assigned
- Jul 20, 2005
- Last updated
- Jun 17, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 127107 | NC | |
| Certified Registered Nurse Anesthetist | 367500000X | 28230243A | IN | Primary |
Addresses
Primary practice location
211 N Eddy St
South Bend, IN 46617-2808
Mailing address
401 Charleston Dr
Clayton, NC 27527-3950
Phone (919) 553-4527
Other practice location 1
1638 Owen Dr
Fayetteville, NC 28304-3424
Phone (910) 609-6440 ext. 6440
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201384080 | Medicaid | IN | |
| 8052067 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, IN
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2004
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
200 High Park Ave
Goshen, IN 46526-4810
Phone (574) 364-1000
2001 Stults Rd
Huntington, IN 46750-1291
Phone (260) 355-3000
211 N Eddy St
South Bend, IN 46617-2808
Phone (574) 299-2450
4455 Edison Lakes Pkwy
Mishawaka, IN 46545-1414
Phone (574) 231-6800
5215 Holy Cross Pkwy
Mishawaka, IN 46545-1469
Phone (574) 335-5000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 127107 | NC | MD | Internal Medicine Physician |
| 28230243A | IN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Joseph Regional Medical Center-South Bend Campus, Inc | Current | Accepting new patients | |
| The South Bend Clinic LLC | Current | Accepting new patients | |
| Cep America - Anesthesia PC | Current | Accepting new patients | |
| Cep America - Anesthesia PC | Current | Accepting new patients | |
| Ams Northern Indiana LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| The South Bend Clinic, LLC | Current | Accepting new patients | |
| United Surgeons, LLC | Current | Accepting new patients | |
| Saint Joseph Regional Medical Center-South Bend Campus, Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Stat Anesthesia Specialists LTD | Current | Accepting new patients | |
| Australia Anesthesia Management LLC | Current | Accepting new patients | |
| Great Lakes Anesthesia, P.C. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Jebs Anesthesia Consultants, LLC | Current | Accepting new patients | |
| Saint Joseph Regional Medical Center-South Bend Campus, Inc. | Current | Accepting new patients | |
| Iceland Anesthesia Management, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Clinical Colleagues LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Stat Anesthesia Specialists, LTD. | Current | Accepting new patients | |
| Saint Joseph Regional Medical Center- Plymouth Campus Inc | Past | Accepting new patients | |
| Mymichigan Medical Center Tawas | Past | Accepting new patients |
Locations (25 of 34)
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
18221 Torrence Ave
Ste 1B
Lansing, IL 60438
Phone (708) 474-7600
1020 High Rd
Bremen, IN 46506
Phone (574) 309-9967
801 S Main St
Clinton, IN 47842
Phone (765) 832-1212
1260 E State Road 205
Columbia City, IN 46725
Phone (260) 248-9000
11460 Broadway
Crown Point, IN 46307
Phone (219) 488-0155
9301 Connecticut Dr
Crown Point, IN 46307
Phone (219) 756-2100
1004 Parkway Ave
Ste A
Elkhart, IN 46516
Phone (800) 966-7841
2310 California Rd
Elkhart, IN 46514
Phone (574) 264-0791
500 Arcade Ave
Ste 100
Elkhart, IN 46514
Phone (574) 389-5683
1721 Magnavox Way
Fort Wayne, IN 46804
Phone (260) 250-0001
7747 W Jefferson Blvd
#A
Fort Wayne, IN 46804
Phone (260) 459-8400
1605 Winsted Dr
Goshen, IN 46526
Phone (574) 364-2970
200 High Park Ave
Goshen, IN 46526
Phone (219) 533-2141
533 E County Line Rd
Ste 201
Greenwood, IN 46143
6836 Hohman Ave
Hammond, IN 46324
Phone (219) 931-7509
2001 Stults Rd
Huntington, IN 46750
Phone (219) 355-3000
900 I St
Laporte, IN 46350
Phone (219) 324-1670
441 N Wabash Ave
Marion, IN 46952
Phone (219) 482-4577
8514 Broadway
Merrillville, IN 46410
Phone (219) 756-5010
8900 Broadway
Merrillville, IN 46410
Phone (219) 252-2173
3212 Hickory Rd
Ste A
Mishawaka, IN 46545
Phone (574) 251-0498
3930 Edison Lakes Pkwy
Ste 100
Mishawaka, IN 46545
4455 Edison Lakes Pkwy
Mishawaka, IN 46545
Phone (574) 231-6134
5215 Holy Cross Pkwy
Mishawaka, IN 46545
Phone (574) 335-2443
Interoperability endpoints
- https://epicproxy.et1296.epichosted.com/APIProxyPRD/api/FHIR/R4/
Organizations & group practices 19
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Goshen, IN
- NPI 1700601903
-
- Anesthesiology Physician
- Mishawaka, IN
- NPI 1306722418
-
- Anesthesiology Physician
- La Porte, IN
- NPI 1790447761
-
dba Saint Joseph Regional Medical Center-South Bend Campus Inc Mobile Med
- Mobile Mammography Clinic/Center
- South Bend, IN
- NPI 1023844693
-
dba Unity Physicians Hospital
- General Acute Care Hospital
- Mishawaka, IN
- NPI 1518197011
-
- Anesthesiology Physician
- Van Wert, OH
- NPI 1992725766
IN, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Elkhart, IN
- NPI 1720039977
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Terre Haute, IN
- NPI 1912578667
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Saint John, IN
- NPI 1699724781
-
- Clinic/Center
- South Bend, IN
- NPI 1073680419
-
- Anesthesiology Physician
- Pensacola, FL
- NPI 1427619840
IN, Nurse Anesthetist, Certified Registered
-
dba Corewell Health Medical Group West
- Internal Medicine Physician
- Grand Rapids, MI
- NPI 1235188673
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Goshen, IN
- NPI 1740268846
-
dba Parkview Huntington Hospital
- General Acute Care Hospital
- Huntington, IN
- NPI 1003821729
-
- General Acute Care Hospital
- Mishawaka, IN
- NPI 1023965795
-
- General Acute Care Hospital
- Mishawaka, IN
- NPI 1841245594
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750118400000",
"number": "1669471827",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 CHARLESTON DR",
"city": "CLAYTON",
"state": "NC",
"postal_code": "275273950",
"telephone_number": "919-553-4527",
"fax_number": "919-553-4527"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "211 N EDDY ST",
"city": "SOUTH BEND",
"state": "IN",
"postal_code": "466172808",
"telephone_number": "574-234-8161"
}
],
"practiceLocations": [
{
"address_1": "1638 Owen Dr",
"address_purpose": "LOCATION",
"city": "Fayetteville",
"state": "NC",
"postal_code": "283043424",
"country_code": "US",
"telephone_number": "910-609-6440 x6440",
"fax_number": "910-609-5365",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BIESENTHAL",
"first_name": "JAY",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-20",
"last_updated": "2025-06-17",
"certification_date": "2025-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NC",
"license": "127107",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IN",
"license": "28230243A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201384080",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8052067",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in South Bend, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2025; 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.