Individual provider Active NPI

Jeremy Brian Lombardoni, CRNA

  • Certified Registered Nurse Anesthetist
  • Chamberlain, SD
National Provider Identifier
1710254255
Registry record updated Dec 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
551272 Issued in NY
Practice address
300 S Byron Blvd
Chamberlain, SD 57325-9741
Phone
(605) 234-6551
NPI assigned
Nov 29, 2011
Last updated
Dec 9, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 551272 NY Primary

Addresses

Primary practice location

300 S Byron Blvd
Chamberlain, SD 57325-9741

Mailing address

PO Box 5074
Sioux Falls, SD 57117-5074

Other practice location 1

99 E State St
Gloversville, NY 12078-1203
Phone (518) 773-5559

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CO, SD, FL4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20111229000502 NY Practitioner - Certified Registered Nurse Anesthetist (Crna) 9638345390 Reassigns benefits to 8 organizations
I20241119004272 CO Practitioner - Certified Registered Nurse Anesthetist (Crna) 9638345390 Reassigns benefits to 1 organization
I20241213003269 SD Practitioner - Certified Registered Nurse Anesthetist (Crna) 9638345390 Reassigns benefits to 2 organizations
I20260415004038 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 9638345390 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sanford Health NetworkGroup PAC ID 6800707100, shared by 49 NPIs, 357 clinicians
West Florida Anesthesia Associates LLCGroup PAC ID 7517231186, 43 clinicians

Practice addresses (Care Compare)

20 S Plum St
Vermillion, SD 57069-3346
Phone (605) 624-9111

300 S Byron Blvd
Chamberlain, SD 57325-9741
Phone (605) 234-5511

835 Currency Cir
Suite 1021
Lake Mary, FL 32746-2293
Phone (407) 749-6656

99 E State St
Gloversville, NY 12078-1203
Phone (518) 773-5690

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sanford Health Network Current Accepting new patients
Premier Anesthesia of New York, P.C. Nurse Anesthetist, Certified Registered CurrentSince May 26, 2023 Accepting new patients
Nathan Littauer Hospital Association Current Accepting new patients
Mary Imogene Bassett Hospital CurrentSince Jan 3, 2022 Accepting new patients
Mary Imogene Bassett Hospital CurrentSince Jan 3, 2022 Accepting new patients
MVHS Inc CurrentSince Apr 18, 2017 Accepting new patients
Sanford Health Network CurrentSince Nov 26, 2024 Accepting new patients
Nathan Littauer Hospital & Nursing Home CurrentSince Jun 4, 2012 Accepting new patients
Sanford Health Network CurrentSince Nov 26, 2024 Accepting new patients
Nathan Littauer Hospital Association CurrentSince Jun 4, 2012 Accepting new patients
MVHS Inc CurrentSince Apr 18, 2017 Accepting new patients
Upstate New York Medical Professional Corporation Nurse Anesthetist, Certified Registered CurrentSince Sep 18, 2023 Accepting new patients
Prowers County Hospital District CurrentSince Dec 22, 2024 Accepting new patients
Adirondack Interventional Physiatry PC CurrentSince Apr 6, 2024 Accepting new patients
Sanford Health Network CurrentSince Jan 6, 2025 Accepting new patients
Surgical Pain Center of the Adirondacks, LLC PastSince Apr 6, 2024 Accepting new patients

Locations

401 Kendall Dr
Lamar, CO 81052
Phone (719) 336-4343

178 Grandview Dr
Cobleskill, NY 12043
Phone (518) 254-3456

1 Atwell Rd
Cooperstown, NY 13326
Phone (607) 547-3480

460 Andes Rd
Delhi, NY 13753
Phone (607) 746-0300

529 Central Ave
Dunkirk, NY 14048
Phone (716) 338-9797

99 E State St
Gloversville, NY 12078
Phone (518) 773-5690

99 E State St
#1
Gloversville, NY 12078
Phone (518) 775-4201

4 Feathers Dr
Plattsburgh, NY 12901
Phone (518) 324-5261

470 Tom Miller Rd
Plattsburgh, NY 12901
Phone (518) 324-7246

85 Plaza Blvd
#102
Plattsburgh, NY 12901
Phone (518) 324-7246

1500 N James St
Rome, NY 13440
Phone (315) 338-7000

2233 State Route 86
Saranac Lake, NY 12983
Phone (518) 891-4141

1676 Sunset Ave
Utica, NY 13502
Phone (315) 624-5567

130 North St
Walton, NY 13856
Phone (607) 865-6541

400 N Main St
Warsaw, NY 14569
Phone (585) 786-1555

300 S Byron Blvd
Chamberlain, SD 57325
Phone (605) 234-5511

701 3rd Ave S
Clear Lake, SD 57226
Phone (605) 874-2141

20 S Plum St
Vermillion, SD 57069
Phone (605) 624-2611

Organizations & group practices 20

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 20

Hospital & facility affiliations 4

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": "1322524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733702400000",
    "number": "1710254255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5074",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571175074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S BYRON BLVD",
            "city": "CHAMBERLAIN",
            "state": "SD",
            "postal_code": "573259741",
            "telephone_number": "605-234-6551"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "99 E State St",
            "address_purpose": "LOCATION",
            "city": "Gloversville",
            "state": "NY",
            "postal_code": "120781203",
            "country_code": "US",
            "telephone_number": "518-773-5559",
            "fax_number": "518-773-5601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOMBARDONI",
        "first_name": "JEREMY",
        "middle_name": "BRIAN",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-11-29",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NY",
            "license": "551272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chamberlain, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2024; 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.