Individual provider Active NPI

Jason B Martinez, CRNA

  • Certified Registered Nurse Anesthetist
  • Kearney, NE
National Provider Identifier
1790719938
Registry record updated Jan 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
100825 Issued in NE
Practice address
115 E 52ND St
Kearney, NE 68847-0502
Phone
(308) 236-5506
Fax
(308) 236-7089
NPI assigned
Jul 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2010

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 100825 NE Primary

Addresses

Primary practice location

115 E 52ND St
Kearney, NE 68847-0502

Mailing address

PO Box 1771
Kearney, NE 68848-1771
Phone (308) 236-5506

Other identifiers 1

IdentifierTypeStateIssuer
47068752615MedicaidNE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040415000916 NE Practitioner - Certified Registered Nurse Anesthetist (Crna) 4486649951 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kearney Anesthesia Associates PCGroup PAC ID 9335132141, 18 clinicians
Grand Island Regional Medical CenterGroup PAC ID 0143659508, 29 clinicians
Bryan Hospital KearneyGroup PAC ID 5991195547, 116 clinicians

Practice addresses (Care Compare)

10 E 31St St
CHI Good Samaritan Hospital
Kearney, NE 68847-2908
Phone (308) 865-7100

3533 Prairieview St
Grand Island, NE 68803-4409
Phone (308) 675-5000

804 22ND Ave
Kearney, NE 68845-2206
Phone (308) 455-3600

Hospital & facility affiliations

  • Kearney Regional Medical Center Hospital, Kearney, NE, CCN 280134
  • CHI Health Good Samaritan Hospital, Kearney, NE, CCN 280009
  • Grand Island Regional Medical Center Hospital, Grand Island, NE, CCN 280139

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Grand Island Regional Medical Center Nurse Anesthetist, Certified Registered CurrentSince Mar 23, 2026 Accepting new patients
Bryan Hospital Kearney CurrentSince Mar 1, 2024 Accepting new patients
Kearney Anesthesia Associates PC Nurse Anesthetist, Certified Registered CurrentSince Oct 15, 2003 Accepting new patients
Lexington Regional Health Center CurrentSince Jan 1, 2026 Accepting new patients
Bryan Hospital Kearney CurrentSince Mar 1, 2024 Accepting new patients
Grand Island Regional Medical Center Past Accepting new patients

Locations

3533 Prairieview St
Grand Island, NE 68803
Phone (308) 675-4557

115 E 52nd St
Kearney, NE 68847
Phone (308) 236-5506

10 E 31st St
#H
Kearney, NE 68847
Phone (308) 865-7100

10 E 31st St
Kearney, NE 68847
Phone (308) 234-5520

804 22nd Ave
Kearney, NE 68845
Phone (308) 455-3600

1201 N Erie St
Lexington, NE 68850
Phone (308) 324-5651

Organizations & group practices 8

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 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": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263168000000",
    "number": "1790719938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1771",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688481771",
            "telephone_number": "308-236-5506",
            "fax_number": "308-236-7089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 E 52ND ST",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688470502",
            "telephone_number": "308-236-5506",
            "fax_number": "308-236-7089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "JASON",
        "middle_name": "B",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2010-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NE",
            "license": "100825",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47068752615",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kearney, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2010; 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.