Individual provider Active NPI

Jon Mathew Sovell, CRNA

  • Certified Registered Nurse Anesthetist
  • Aberdeen, SD
National Provider Identifier
1821225947
Registry record updated Sep 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
R031957 Issued in SD
Practice address
305 S State St
Aberdeen, SD 57401-4527
Phone
(605) 622-5000
Fax
(605) 622-5255
NPI assigned
Jun 16, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2011

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 R031957 SD Primary

Addresses

Primary practice location

305 S State St
Aberdeen, SD 57401-4527

Mailing address

430 Jackson Ave
Ortonville, MN 56278-1453
Phone (605) 622-5000

Other identifiers 1

IdentifierTypeStateIssuer
CR000725OtherSDCRNA CERTIFICATION

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110519000308 MN Practitioner - Certified Registered Nurse Anesthetist (Crna) 9436335809 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Madison Healthcare ServicesGroup PAC ID 9638080187, 29 clinicians

Practice addresses (Care Compare)

820 3Rd Ave
Madison, MN 56256-1014
Phone 32059875517551

Hospital & facility affiliations

  • Johnson Memorial Hospital Hospital, Dawson, MN, CCN 241314
  • Milbank Area Hospital/Avera Health Hospital, Milbank, SD, CCN 431326
  • Appleton Area Health Hospital, Appleton, MN, CCN 241341

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R031957SDMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Johnson Memorial Health Services Current Accepting new patients
Madison Healthcare Services CurrentSince Feb 1, 2019 Accepting new patients
Johnson Memorial Health Services CurrentSince Feb 4, 2020 Accepting new patients
Lac Qui Parle Clinic of Madison Inc Current Accepting new patients
Johnson Memorial Health Services Current Accepting new patients
Johnson Memorial Health Services CurrentSince Feb 4, 2020 Accepting new patients

Locations

1282 Walnut St
Dawson, MN 56232
Phone (320) 769-4323

820 3rd Ave
Madison, MN 56256
Phone (320) 598-3552

900 2nd Ave
Madison, MN 56256
Phone (320) 598-7536

824 N 11th St
Montevideo, MN 56265
Phone (320) 269-8877

Interoperability endpoints

  • Direct secure messaging: jsovell323216@direct.centracare.com

Organizations & group practices 6

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": "1245110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316390400000",
    "number": "1821225947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 JACKSON AVE",
            "city": "ORTONVILLE",
            "state": "MN",
            "postal_code": "562781453",
            "telephone_number": "605-622-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 S STATE ST",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574014527",
            "telephone_number": "605-622-5000",
            "fax_number": "605-622-5255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOVELL",
        "first_name": "JON",
        "middle_name": "MATHEW",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-16",
        "last_updated": "2011-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "SD",
            "license": "R031957",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRNA CERTIFICATION",
            "identifier": "CR000725",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aberdeen, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2011; 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.