Individual provider Active NPI

Jason Troy Lihs, CRNA

  • Certified Registered Nurse Anesthetist
  • Clarinda, IA
National Provider Identifier
1669566758
Registry record updated May 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
D102258 Issued in IA
Practice address
220 Essie Davison Dr
Clarinda, IA 51632-2915
Phone
(712) 542-2176
Fax
(712) 542-8297
NPI assigned
Oct 3, 2006
Last updated
May 8, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2014

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 102258 IA
Certified Registered Nurse Anesthetist 367500000X D102258 IA Primary

Addresses

Primary practice location

220 Essie Davison Dr
Clarinda, IA 51632-2915

Mailing address

PO Box 217
Clarinda, IA 51632-2625
Phone (712) 542-2186

Other identifiers 1

IdentifierTypeStateIssuer
102258OtherIASTATE CRNA LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210421000973 IA Practitioner - Certified Registered Nurse Anesthetist (Crna) 7618975335 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Montgomery County Memorial HospitalGroup PAC ID 9032015805, shared by 7 NPIs, 43 clinicians
St Anthony Regional Hospital and Nursing HomeGroup PAC ID 4688586829, shared by 8 NPIs, 49 clinicians

Practice addresses (Care Compare)

2301 Eastern Ave
Red Oak, IA 51566-1300
Phone (712) 623-7000

311 S Clark St
Carroll, IA 51401-3038
Phone (712) 792-3581

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
102258IAMDCertified Registered Nurse Anesthetist
D102258IAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Montgomery County Memorial Hospital Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2022 Accepting new patients
Montgomery County Memorial Hospital Current Accepting new patients
Shenandoah Medical Center CurrentSince Jul 13, 2021 Accepting new patients
Shenandoah Medical Center Current Accepting new patients
Shenandoah Medical Center Nurse Anesthetist, Certified Registered CurrentSince Jul 13, 2021 Accepting new patients
Montgomery County Memorial Hospital CurrentSince Sep 1, 2022 Accepting new patients
St Anthony Regional Hospital and Nursing Home CurrentSince May 1, 2021 Accepting new patients
St Anthony Regional Hospital and Nursing Home Current Accepting new patients
Mercy Medical Center New Hampton Current Accepting new patients
St Anthony Regional Hospital and Nursing Home CurrentSince May 1, 2021 Accepting new patients
Wayne County Hospital Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2022 Accepting new patients
Des Moines Anesthesiologists PC Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

1501 E 10th St
Atlantic, IA 50022
Phone (712) 243-2850

311 S Clark St
Carroll, IA 51401
Phone (712) 792-3581

220 Essie Davison Dr
Clarinda, IA 51632
Phone (712) 542-8330

603 Rosary Dr
Corning, IA 50841
Phone (641) 322-3121

417 S East St
Corydon, IA 50060
Phone (641) 872-2260

308 N Maple Ave
New Hampton, IA 50659
Phone (641) 394-2151

2301 Eastern Ave
Red Oak, IA 51566
Phone (712) 623-7270

300 Pershing Ave
Shenandoah, IA 51601
Phone (712) 246-1230

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 2

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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399507200000",
    "number": "1669566758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 217",
            "city": "CLARINDA",
            "state": "IA",
            "postal_code": "516322625",
            "telephone_number": "712-542-2186",
            "fax_number": "712-542-8311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 ESSIE DAVISON DR",
            "city": "CLARINDA",
            "state": "IA",
            "postal_code": "516322915",
            "telephone_number": "712-542-2176",
            "fax_number": "712-542-8297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIHS",
        "first_name": "JASON",
        "middle_name": "TROY",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2014-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IA",
            "license": "102258",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IA",
            "license": "D102258",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE CRNA LICENSE",
            "identifier": "102258",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarinda, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2014; 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.