Individual provider Active NPI

Jacob Jenner

  • Certified Registered Nurse Anesthetist
  • Norfolk, NE
National Provider Identifier
1811423346
Registry record updated May 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
101403 Issued in NE
Practice address
2700 W Norfolk Ave
Norfolk, NE 68701-4438
Phone
(402) 644-7507
NPI assigned
May 3, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2017

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 101403 NE Primary

Addresses

Primary practice location

2700 W Norfolk Ave
Norfolk, NE 68701-4438

Mailing address

2700 W Norfolk Ave
Norfolk, NE 68701-4438

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, SD, IA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20170515001067 NE Practitioner - Certified Registered Nurse Anesthetist (Crna) 5294012522 Reassigns benefits to 1 organization
I20201113001582 SD Practitioner - Certified Registered Nurse Anesthetist (Crna) 5294012522 Reassigns benefits to 8 organizations
I20250116002184 IA Practitioner - Certified Registered Nurse Anesthetist (Crna) 5294012522 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hawarden Regional HealthcareGroup PAC ID 0547257990, 23 clinicians
Hegg Memorial HospitalGroup PAC ID 5193718757, shared by 4 NPIs, 44 clinicians
Avera McKennanGroup PAC ID 0345157103, 957 clinicians
TTB Services Prof LLCGroup PAC ID 3476797135, 23 clinicians

Practice addresses (Care Compare)

1111 11TH St
Hawarden, IA 51023-1903
Phone (712) 551-3100

1202 21St Ave
Rock Valley, IA 51247-1420
Phone (712) 476-8000

1325 S Cliff Ave
Sioux Falls, SD 57105-1007

3101 W 57TH St
Sioux Falls, SD 57108-3162
Phone (605) 361-3937

909 N Iowa Ave
Dell Rapids, SD 57022-1231
Phone (605) 428-5431

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2524MNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sanford Health Network CurrentSince Oct 28, 2021 Accepting new patients
Sanford Health Network Current Accepting new patients
Sanford Medical Center CurrentSince Aug 11, 2020 Accepting new patients
Hegg Memorial Hospital Current Accepting new patients
Hawarden Regional Healthcare Clinics LLC CurrentSince Nov 1, 2025 Accepting new patients
Orange City Municipal Hospital CurrentSince Oct 6, 2024 Accepting new patients
Orange City Municipal Hospital Current Accepting new patients
Hawarden Regional Healthcare Clinics LLC CurrentSince Nov 1, 2025 Accepting new patients
Avera McKennan Current Accepting new patients
Anesthesiology Associates, Inc. CurrentSince Jun 1, 2022 Accepting new patients
Orange City Municipal Hospital CurrentSince Oct 6, 2024 Accepting new patients
Yankton Medical Clinic PC CurrentSince May 10, 2021 Accepting new patients
Sioux Falls Specialty Hospital, LLP CurrentSince Jan 31, 2023 Accepting new patients
Greater Siouxland Anesthesiology & Pain Prof LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2020 Accepting new patients
TTB Services Prof LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 31, 2024 Accepting new patients
Hawarden Regional Healthcare CurrentSince Jul 1, 2025 Accepting new patients
Sioux Falls Specialty Hospital, LLP CurrentSince Jan 31, 2023 Accepting new patients
Yankton Medical Clinic PC Current Accepting new patients
Sanford Health Network Current Accepting new patients
Hegg Memorial Hospital CurrentSince Oct 1, 2025 Accepting new patients
Yankton Medical Clinic PC CurrentSince May 10, 2021 Accepting new patients
Yankton Medical Clinic PC Current Accepting new patients
Hegg Memorial Hospital CurrentSince Oct 1, 2025 Accepting new patients
Avera McKennan CurrentSince Aug 30, 2021 Accepting new patients
Hegg Memorial Hospital Current Accepting new patients
Avera McKennan Nurse Anesthetist, Certified Registered CurrentSince Aug 30, 2021 Accepting new patients
Hawarden Regional Healthcare CurrentSince Jul 1, 2025 Accepting new patients
Pax PLLC PastSince Jun 1, 2022 Accepting new patients

Locations

1111 11th St
Hawarden, IA 51023
Phone (712) 551-3100

1122 12th St
Hawarden, IA 51023
Phone (712) 551-3400

318 Main St
Ireton, IA 51027
Phone (712) 278-1011

719 8th St SE
Orange City, IA 51041
Phone (712) 707-6070

1000 Lincoln Cir SE
Orange City, IA 51041
Phone (712) 737-2000

1202 21st Ave
Rock Valley, IA 51247
Phone (712) 476-8000

1601 Sioux Valley Dr
Luverne, MN 56156
Phone (507) 283-4476

400 10th St E
Waconia, MN 55387

201 E 4th St
South Sioux City, NE 68776
Phone (402) 412-2160

400 N Hiawatha Dr
Canton, SD 57013
Phone (605) 764-1500

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

909 N Iowa Ave
Dell Rapids, SD 57022
Phone (605) 428-5431

601 S Cliff Ave
Ste A
Sioux Falls, SD 57104
Phone (605) 338-7098

4405 E 26th St
Sioux Falls, SD 57103
Phone (605) 328-9000

3101 W 57th St
Sioux Falls, SD 57108
Phone (605) 361-3937

910 E 20th St
Sioux Falls, SD 57105
Phone (602) 338-7098

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

1104 W 8th St
Yankton, SD 57078
Phone (605) 665-7841

Organizations & group practices 29

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 29

Hospital & facility affiliations 26

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 26

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1493769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493769600000",
    "number": "1811423346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 W NORFOLK AVE",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687014438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 W NORFOLK AVE",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687014438",
            "telephone_number": "402-644-7507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENNER",
        "first_name": "JACOB",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-03",
        "last_updated": "2017-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NE",
            "license": "101403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2017; 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.