Active NPI
Jeffrey Dale Schultz, CRNA
- Certified Registered Nurse Anesthetist
- Valley City, ND
National Provider Identifier
1962409490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- R31111
- Practice address
- 570 Chautauqua Blvd
Valley City, ND 58072-3145 - Phone
- (701) 845-6400
- NPI assigned
- Jun 30, 2005
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | R31111 | ND | Primary |
| Certified Registered Nurse Anesthetist | 367500000X | R022879 | SD | |
| Certified Registered Nurse Anesthetist | 367500000X | R136952-0 | MN | |
| Certified Registered Nurse Anesthetist | 367500000X | 647231 | TX |
Addresses
Primary practice location
570 Chautauqua Blvd
Valley City, ND 58072-3145
Mailing address
845 6TH Ave NE
Apt 11
Valley City, ND 58072-2364
Phone (710) 845-0715
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R136952-0 | MN | MD | Certified Registered Nurse Anesthetist |
| R31111 | ND | MD | Certified Registered Nurse Anesthetist |
| R022879 | SD | MD | Certified Registered Nurse Anesthetist |
| 647231 | TX | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nature Coast Anesthesia Providers, P.a. | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Orthopaedic Anesthesia Specialists, LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Certified Registered Nurse Anesthetist
- Mount Dora, FL
- NPI 1578557104
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Omaha, NE
- NPI 1467492207
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1962409490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "845 6TH AVE NE",
"address_2": "APT 11",
"city": "VALLEY CITY",
"state": "ND",
"postal_code": "580722364",
"telephone_number": "710-845-0715"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "570 CHAUTAUQUA BLVD",
"city": "VALLEY CITY",
"state": "ND",
"postal_code": "580723145",
"telephone_number": "701-845-6400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHULTZ",
"first_name": "JEFFREY",
"middle_name": "DALE",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-30",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "ND",
"license": "R31111",
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "SD",
"license": "R022879",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MN",
"license": "R136952-0",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "647231",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Valley City, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.