Individual provider Active NPI

John J Retzloff, CRNA

  • Certified Registered Nurse Anesthetist
  • Elkhart, IN
National Provider Identifier
1881822039
Registry record updated Apr 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
28146650A Issued in IN
Practice address
500 N Nappanee St
Suite 11B
Elkhart, IN 46514-1503
Phone
(574) 522-9922
Fax
(574) 522-9926
NPI assigned
Jun 26, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2026

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 28146650A IN Primary

Addresses

Primary practice location

500 N Nappanee St
Suite 11B
Elkhart, IN 46514-1503

Mailing address

PO Box 3055
Indianapolis, IN 46206-3055
Phone (317) 567-2180

Other practice location 1

211 N Eddy St
South Bend, IN 46617-3096
Phone (574) 237-9366

Other identifiers 1

IdentifierTypeStateIssuer
200951450MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, MI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090814000322 IN Practitioner - Certified Registered Nurse Anesthetist (Crna) 6103970819 Reassigns benefits to 9 organizations
I20210202002527 MI Practitioner - Certified Registered Nurse Anesthetist (Crna) 6103970819 Reassigns benefits to 1 organization

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
Centers for Pain Control, IncGroup PAC ID 7416019450, 24 clinicians
The South Bend Clinic LLCGroup PAC ID 3779577937, 171 clinicians

Practice addresses (Care Compare)

204 Legacy Plaza W
Laporte, IN 46350-5285
Phone (219) 326-7246

211 N Eddy St
South Bend, IN 46617-2808
Phone (574) 234-8161

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28146650AINMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Great Lakes Anesthesia, P.C. Nurse Anesthetist, Certified Registered CurrentSince Jul 5, 2009 Accepting new patients
Jebs Anesthesia Consultants, LLC CurrentSince Jul 29, 2025 Accepting new patients
Iceland Anesthesia Management, LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 15, 2021 Accepting new patients
Centers for Pain Control, Inc CurrentSince Aug 19, 2025 Accepting new patients
La Porte County Anesthesia Associates LLC CurrentSince Mar 31, 2010 Accepting new patients
The South Bend Clinic, LLC CurrentSince Aug 30, 2025 Accepting new patients
The South Bend Clinic LLC CurrentSince Aug 30, 2025 Accepting new patients
Clinical Colleagues Inc Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2020 Accepting new patients
Sda Consultants PLLC Nurse Anesthetist, Certified Registered CurrentSince Sep 3, 2021 Accepting new patients
Monaco Management, LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2021 Accepting new patients
Ams Northern Indiana LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2020 Accepting new patients
Centers for Pain Control, Inc CurrentSince Aug 19, 2025 Accepting new patients
Saint Joseph Regional Medical Center- Plymouth Campus Inc Past Accepting new patients

Locations (25 of 27)

801 S Main St
Clinton, IN 47842
Phone (765) 832-1212

1260 E State Road 205
Columbia City, IN 46725
Phone (260) 248-9000

9301 Connecticut Dr
Crown Point, IN 46307
Phone (219) 756-2100

500 N Nappanee St
Ste 11B
Elkhart, IN 46514

500 Arcade Ave
Ste 100
Elkhart, IN 46514
Phone (574) 389-5683

1004 Parkway Ave
Ste B
Elkhart, IN 46516
Phone (219) 309-8149

2310 California Rd
Elkhart, IN 46514
Phone (574) 264-0791

1004 Parkway Ave
Ste A
Elkhart, IN 46516
Phone (800) 966-7841

1721 Magnavox Way
Fort Wayne, IN 46804
Phone (260) 250-0001

533 E County Line Rd
Ste 201
Greenwood, IN 46143

30 N Emerson Ave
Greenwood, IN 46143
Phone (317) 881-3937

201 Main St
Hobart, IN 46342
Phone 2194767246 ext. 321

8805 N Meridian St
Ste 100
Indianapolis, IN 46260
Phone 3177067246109

3738 Landmark Dr
Ste C
Lafayette, IN 47905
Phone (720) 673-8188

204 Legacy Plz W
Laporte, IN 46350
Phone (219) 326-7246

441 N Wabash Ave
Marion, IN 46952
Phone (219) 482-4577

8687 Connecticut St
Ste D
Merrillville, IN 46410
Phone (219) 750-9630

301 W Homer St
Michigan City, IN 46360
Phone (219) 877-1033

3500 Franciscan Way
Michigan City, IN 46360
Phone (219) 852-1524

301 W Homer St
#M
Michigan City, IN 46360
Phone (219) 877-1033

611 E Douglas Rd
Ste 108
Mishawaka, IN 46545
Phone (574) 968-3515

3212 Hickory Rd
Ste A
Mishawaka, IN 46545
Phone (574) 251-0498

1928 45th St
Munster, IN 46321
Phone 2194767246 ext. 321

1915 Lake Ave
Plymouth, IN 46563
Phone (219) 936-3181

53990 Carmichael Dr
South Bend, IN 46635
Phone (574) 243-9700

Interoperability endpoints

  • Direct secure messaging: john.retzloff.1@16383.direct.athenahealth.com
  • FHIR API: https://epicproxy.et1296.epichosted.com/APIProxyPRD/api/FHIR/R4/

Organizations & group practices 13

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 13

NPI Registry JSON

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

{
    "created_epoch": "1245974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776729600000",
    "number": "1881822039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3055",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462063055",
            "telephone_number": "317-567-2180",
            "fax_number": "317-567-2191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N NAPPANEE ST",
            "address_2": "SUITE 11B",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465141503",
            "telephone_number": "574-522-9922",
            "fax_number": "574-522-9926"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "211 N Eddy St",
            "address_purpose": "LOCATION",
            "city": "South Bend",
            "state": "IN",
            "postal_code": "466173096",
            "country_code": "US",
            "telephone_number": "574-237-9366",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RETZLOFF",
        "first_name": "JOHN",
        "middle_name": "J",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-26",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IN",
            "license": "28146650A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200951450",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkhart, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2026; 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.