Individual provider Active NPI

Jacob Raimann, CRNA

  • Certified Registered Nurse Anesthetist
  • Mankato, MN
National Provider Identifier
1740872118
Registry record updated Feb 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
. Issued in MN
Practice address
1025 Marsh St
Mankato, MN 56001-4752
Phone
(507) 625-4031
NPI assigned
Feb 8, 2021
Last updated
Feb 25, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X MN
Certified Registered Nurse Anesthetist 367500000X . MN Primary

Addresses

Primary practice location

1025 Marsh St
Mankato, MN 56001-4752

Mailing address

249 Oak Dr
Eagle Lake, MN 56024-3404

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jraimann128770@ehrdirect.mayoclinicmsg.org

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210316002993 MN Practitioner - Certified Registered Nurse Anesthetist (Crna) 5496161416 Reassigns benefits to 12 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carris Health - Redwood LLCGroup PAC ID 7911259619, shared by 6 NPIs, 42 clinicians
Sanford Health NetworkGroup PAC ID 6800707100, 357 clinicians
Mayo Clinic Health System-Southwest Minnesota RegionGroup PAC ID 4688585771, shared by 6 NPIs, 658 clinicians
River's Edge Hospital and ClinicGroup PAC ID 7214849397, 27 clinicians
Windom Area HospitalGroup PAC ID 7113911272, shared by 2 NPIs, 21 clinicians

Practice addresses (Care Compare)

101 Caring Way
Redwood Falls, MN 56283-2624
Phone (507) 637-2985

1018 6TH Ave
Worthington, MN 56187-2202
Phone (507) 372-3800

1025 Marsh St
Mankato, MN 56001-4752
Phone (507) 625-4031

1900 Sunrise Dr
Saint Peter, MN 56082-5376
Phone 5079312200605

2150 Hospital Dr
Windom, MN 56101-1287
Phone (507) 831-2400

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
.MNMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Windom Area Hospital CurrentSince Mar 1, 2022 Accepting new patients
Mayo Clinic Health System-Southwest Minnesota Region Current Accepting new patients
Carris Health - Redwood LLC Current Accepting new patients
Carris Health - Redwood LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2022 Accepting new patients
Mayo Clinic Health System-Fairmont CurrentSince Mar 15, 2021 Accepting new patients
Carris Health - Redwood LLC CurrentSince Apr 1, 2022 Accepting new patients
Sanford Health Network CurrentSince Apr 27, 2024 Accepting new patients
River's Edge Hospital & Clinic CurrentSince Oct 1, 2023 Accepting new patients
Mayo Clinic Health System-Southwest Minnesota Region CurrentSince Mar 15, 2021 Accepting new patients
Redwood Area Hospital Current Accepting new patients
Mayo Clinic Health System-Southwest Minnesota Region CurrentSince Mar 15, 2021 Accepting new patients
Sanford Health Network CurrentSince Apr 27, 2024 Accepting new patients
Mayo Clinic Health System-Southwest Minnesota Region Current Accepting new patients
Madelia Health CurrentSince Aug 1, 2025 Accepting new patients
Sanford Health Network Current Accepting new patients
Windom Area Hospital Current Accepting new patients
Windom Area Hospital CurrentSince Mar 1, 2022 Accepting new patients
Madelia Health Current Accepting new patients

Locations

800 Medical Center Dr
Fairmont, MN 56031
Phone (507) 238-8100

121 Drew Ave SE
Madelia, MN 56062
Phone (507) 642-3255

1025 Marsh St
Mankato, MN 56001
Phone (507) 345-2623

301 2nd St NE
New Prague, MN 56071
Phone (952) 758-4431

101 Caring Way
Redwood Falls, MN 56283
Phone (507) 637-2911

1900 Sunrise Dr
Saint Peter, MN 56082
Phone (507) 931-2200

249 5th St E
Tracy, MN 56175
Phone (507) 629-3520

2150 Hospital Dr
Windom, MN 56101
Phone (507) 831-0618

1018 6th Ave
Worthington, MN 56187
Phone (507) 343-6100

Interoperability endpoints

  • Direct secure messaging: jraimann128770@ehrdirect.mayoclinicmsg.org
  • Direct secure messaging: jraimann618945@direct.centracare.com

Organizations & group practices 18

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 18

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": "1612742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614211200000",
    "number": "1740872118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "249 OAK DR",
            "city": "EAGLE LAKE",
            "state": "MN",
            "postal_code": "560243404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 MARSH ST",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560014752",
            "telephone_number": "507-625-4031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAIMANN",
        "first_name": "JACOB",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-02-08",
        "last_updated": "2021-02-25",
        "certification_date": "2021-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MN",
            "license": null,
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MN",
            "license": ".",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jraimann128770@ehrdirect.mayoclinicmsg.org",
            "affiliation": "N",
            "address_1": "1025 Marsh St",
            "city": "Mankato",
            "state": "MN",
            "country_code": "US",
            "postal_code": "560014752",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mankato, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2021; 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.