Active NPI
Jon Mathew Sovell, CRNA
- Certified Registered Nurse Anesthetist
- Aberdeen, SD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- R031957
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CR000725 | Other | SD | CRNA CERTIFICATION |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
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
Practice addresses (Care Compare)
820 3Rd Ave
Madison, MN 56256-1014
Phone 32059875517551
Hospital & facility affiliations
- Johnson Memorial Hospital
- Milbank Area Hospital/Avera Health
- Appleton Area Health
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R031957 | SD | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Johnson Memorial Health Services | Current | Accepting new patients | |
| Madison Healthcare Services | Current | Accepting new patients | |
| Johnson Memorial Health Services | Current | 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 | Current | 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
- 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.
-
- Critical Access Hospital
- Madison, MN
- NPI 1942246848
-
- Critical Access Hospital
- Dawson, MN
- NPI 1093745051
-
- Medicare Defined Swing Bed Hospital Unit
- Dawson, MN
- NPI 1770697260
-
- Rural Health Clinic/Center
- Dawson, MN
- NPI 1336145796
-
- Skilled Nursing Facility
- Dawson, MN
- NPI 1861506354
-
- Rural Health Clinic/Center
- Madison, MN
- NPI 1144266156
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Milbank, SD
- NPI 1548272818
-
- Critical Access Hospital
- Appleton, MN
- NPI 1578590626
-
- Critical Access Hospital
- Dawson, MN
- NPI 1093745051
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.