Individual provider Active NPI

Jeffrey J Kalvig, CRNA

  • Certified Registered Nurse Anesthetist
  • Clarion, IA
National Provider Identifier
1760464200
Registry record updated May 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
068252 Issued in IA
Practice address
1316 S Main
Clarion, IA 50525
Phone
(515) 532-2811
Fax
(515) 532-9336
NPI assigned
Nov 18, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2008

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 068252 IA Primary

Addresses

Primary practice location

1316 S Main
Clarion, IA 50525

Mailing address

1316 S Main
Clarion, IA 50525
Phone (515) 532-2811

Other identifiers 2

IdentifierTypeStateIssuer
0600460MedicaidIA
0161422MedicaidIA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031229000478 IA Practitioner - Certified Registered Nurse Anesthetist (Crna) 9638077662 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trinity Regional Medical CenterGroup PAC ID 7315858529, 170 clinicians

Practice addresses (Care Compare)

802 Kenyon Rd
Fort Dodge, IA 50501-5740

Hospital & facility affiliations

  • Trinity Regional Medical Center Hospital, Fort Dodge, IA, CCN 160016

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
068252IAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Belmond Community Hospital CurrentSince Jan 1, 2022 Accepting new patients
Iowa Specialty Hospital- Clarion Current Accepting new patients
St Luke'S Methodist Hospital Current Accepting new patients
Iowa Specialty Hospital- Clarion CurrentSince Feb 15, 2007 Accepting new patients
Trinity Regional Medical Center Nurse Anesthetist, Certified Registered CurrentSince Aug 28, 2023 Accepting new patients
Dubuque Anesthesia Services, PC PastSince May 16, 2021 Accepting new patients
Dubuque Anesthesia Services, PC Nurse Anesthetist, Certified Registered PastSince May 25, 2021 Accepting new patients

Locations

403 1st St SE
Belmond, IA 50421
Phone (641) 444-3223

215 13th Ave SW
Clarion, IA 50525
Phone (515) 532-2836

1316 S Main St
Clarion, IA 50525
Phone (515) 532-2811

350 N Grandview Ave
Dubuque, IA 52001
Phone (563) 582-1881

802 Kenyon Rd
Fort Dodge, IA 50501
Phone (515) 574-6565

Interoperability endpoints

  • Direct secure messaging: jkalvig160268@direct.unitypoint.org

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210291200000",
    "number": "1760464200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1316 S MAIN",
            "city": "CLARION",
            "state": "IA",
            "postal_code": "50525",
            "telephone_number": "515-532-2811",
            "fax_number": "515-532-9336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1316 S MAIN",
            "city": "CLARION",
            "state": "IA",
            "postal_code": "50525",
            "telephone_number": "515-532-2811",
            "fax_number": "515-532-9336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALVIG",
        "first_name": "JEFFREY",
        "middle_name": "J",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-18",
        "last_updated": "2008-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IA",
            "license": "068252",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0600460",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0161422",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarion, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2008; 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.