Individual provider Active NPI

Jonathan Robert Lang, STUDENT

  • Certified Registered Nurse Anesthetist
  • Iowa City, IA
National Provider Identifier
1790349157
Registry record updated Jul 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
D163785 Issued in IA
Practice address
200 Hawkins Dr
Iowa City, IA 52242-1009
Phone
(319) 356-2633
Fax
(319) 356-2940
NPI assigned
Apr 30, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2021

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 D163785 IA Primary

Addresses

Primary practice location

200 Hawkins Dr
Iowa City, IA 52242-1009

Mailing address

200 Hawkins Dr
Iowa City, IA 52242-1009
Phone (319) 356-2633

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210616001499 IA Practitioner - Certified Registered Nurse Anesthetist (Crna) 0244630044 Reassigns benefits to 17 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
New Gi PCGroup PAC ID 2567930985, 22 clinicians
Peoples Memorial HospitalGroup PAC ID 9931010790, 47 clinicians
Delaware County Memorial HospitalGroup PAC ID 2062316375, shared by 11 NPIs, 80 clinicians

Practice addresses (Care Compare)

1015 S Hackett Rd
Waterloo, IA 50701-3500
Phone (319) 234-5990

1600 1St St E
Independence, IA 50644-3155
Phone (319) 332-0999

709 W Main St
Regional Medical Center
Manchester, IA 52057-1526
Phone (563) 927-3232

Hospital & facility affiliations

  • Regional Medical Center Hospital, Manchester, IA, CCN 161343
  • Buchanan County Health Center Hospital, Independence, IA, CCN 161335

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
People'S Memorial Hospital CurrentSince Aug 24, 2021 Accepting new patients
Delaware County Memorial Hospital CurrentSince Aug 1, 2021 Accepting new patients
Palmer Lutheran Health Center, Inc. CurrentSince Feb 2, 2026 Accepting new patients
Cedar Valley Medical Specialists PC CurrentSince Aug 7, 2023 Accepting new patients
Delaware County Memorial Hospital CurrentSince Jul 1, 2025 Accepting new patients
St Luke'S Jones Regional Medical Center CurrentSince Nov 20, 2025 Accepting new patients
Guttenberg Municipal Hospital CurrentSince Aug 1, 2023 Accepting new patients
Guttenberg Municipal Hospital CurrentSince Aug 1, 2023 Accepting new patients
Guttenberg Municipal Hospital Nurse Anesthetist, Certified Registered Current Accepting new patients
Delaware County Memorial Hospital CurrentSince Aug 1, 2021 Accepting new patients
Sumner Community Club Nurse Anesthetist, Certified Registered Current Accepting new patients
Iowa Physicians Clinic Medical Foundation CurrentSince Aug 25, 2025 Accepting new patients
Virginia Gay Hospital, Inc CurrentSince Jan 1, 2026 Accepting new patients
Waverly Health Center CurrentSince Jul 1, 2021 Accepting new patients
Delaware County Memorial Hospital Current Accepting new patients
St Luke'S Jones Regional Medical Center CurrentSince Nov 20, 2025 Accepting new patients
People'S Memorial Hospital CurrentSince Aug 24, 2021 Accepting new patients
Cedar Valley Medical Specialists PC CurrentSince Aug 7, 2023 Accepting new patients
Waverly Health Center Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2021 Accepting new patients
Guttenberg Municipal Hospital CurrentSince Aug 1, 2023 Accepting new patients
Sumner Community Club Current Accepting new patients
St Luke'S Methodist Hospital Current Accepting new patients
Guttenberg Municipal Hospital Past Accepting new patients

Locations

1795 Highway 64 E
Anamosa, IA 52205
Phone (319) 462-6161

4480 Utica Ridge Rd
Ste 2230
Bettendorf, IA 52722
Phone (563) 742-5150

4480 Utica Ridge Rd
Ste 160
Bettendorf, IA 52722
Phone (563) 742-5950

200 Main St
Guttenberg, IA 52052
Phone (563) 252-1121

1600 1st St E
Independence, IA 50644
Phone (319) 332-0999

1100 1st St E
Independence, IA 50644
Phone (319) 334-2541

709 W Main St
Manchester, IA 52057
Phone (563) 927-3232

909 W 1st St
Sumner, IA 50674
Phone (563) 578-3275

1015 S Hackett Rd
Waterloo, IA 50701
Phone (319) 234-5990

4150 Kimball Ave
Waterloo, IA 50701
Phone (319) 235-5390

1753 W Ridgeway Ave
Ste 107
Waterloo, IA 50701
Phone (319) 833-5907

1015 S Hackett Rd
Ste B
Waterloo, IA 50701
Phone (319) 406-5990

312 9th St SW
Waverly, IA 50677
Phone (319) 352-4120

112 Jefferson St
West Union, IA 52175
Phone (563) 422-3811

Interoperability endpoints

  • Direct secure messaging: jlang828902@direct.unitypoint.org

Organizations & group practices 27

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.

View all 27

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": "1556582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626912000000",
    "number": "1790349157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HAWKINS DR",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522421009",
            "telephone_number": "319-356-2633",
            "fax_number": "319-356-2940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HAWKINS DR",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522421009",
            "telephone_number": "319-356-2633",
            "fax_number": "319-356-2940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANG",
        "first_name": "JONATHAN",
        "middle_name": "ROBERT",
        "name_prefix": "Mr.",
        "credential": "STUDENT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-30",
        "last_updated": "2021-07-22",
        "certification_date": "2021-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IA",
            "license": "D163785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Iowa City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.