Jennifer K McClimon, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

11966 Issued in WI

Practice address

205 Parker St
Boscobel, WI 53805-1642

Phone

(608) 375-4112

NPI assigned

Aug 22, 2007

Last updated

Sep 14, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IA, WI, IL3 enrollments

Enrollment records 3

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

University of Iowa, RJ & L Carver College of Medicine, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Midwest Medical CenterGroup PAC ID 5698771848, 36 clinicians

Jackson County Public HospitalGroup PAC ID 1254248958, shared by 3 NPIs, 13 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Jackson County Regional Health Center Hospital, Maquoketa, IA, CCN 161329
• Midwest Medical Center Hospital, Galena, IL, CCN 141302

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/0e14dd7a-54b5-4e15-8bd7-0053cd69b1ac/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Midwest Medical Center

  • Critical Access Hospital
  • Galena, IL
  • NPI 1952409765
  Medicare reassignment Care Compare group NPD
• Memorial Hospital of Boscobel

  dba Gundersen Boscobel Area Hospital and Clinics

  • Critical Access Hospital
  • Boscobel, WI
  • NPI 1760459846
  Medicare reassignment NPD
• Central Community Hospital

  dba MercyOne Elkader Medical Center

  • Critical Access Hospital
  • Elkader, IA
  • NPI 1184645434
  Medicare reassignment NPD
• Jackson County Public Hospital

  • Emergency Medical Services (Emergency Medicine) Physician
  • Maquoketa, IA
  • NPI 1689705949
  Medicare reassignment NPD
• Jackson County Public Hospital

  dba Jackson County Regional Health Center

  • Critical Access Hospital
  • Maquoketa, IA
  • NPI 1912960758
  Medicare reassignment NPD
• Medical Associates Clinic P C

  • Multi-Specialty Clinic/Center
  • Dubuque, IA
  • NPI 1457300790
  Medicare reassignment NPD
• Memorial Hospital of Boscobel

  • Medicare Defined Swing Bed Hospital Unit
  • Boscobel, WI
  • NPI 1497712624
  NPD
• Jackson County Public Hospital

  dba Jackson County Regional Health Center

  • Skilled Nursing Facility
  • Maquoketa, IA
  • NPI 1164486551
  NPD
• Midwest Medical Center

  • Rural Health Clinic/Center
  • Elizabeth, IL
  • NPI 1295286045
  NPD

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

• Jackson County Public Hospital

  dba Jackson County Regional Health Center

  • Critical Access Hospital
  • Maquoketa, IA
  • NPI 1912960758
  Care Compare affiliation
• Midwest Medical Center

  • Clinic/Center
  • Elizabeth, IL
  • NPI 1295126944

  Hospital

  Care Compare affiliation
• Midwest Medical Center

  • Critical Access Hospital
  • Galena, IL
  • NPI 1952409765
  Care Compare affiliation

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

{
    "created_epoch": "1187740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663113600000",
    "number": "1962695031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 PARKER ST",
            "city": "BOSCOBEL",
            "state": "WI",
            "postal_code": "538051642",
            "telephone_number": "608-375-4112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 PARKER ST",
            "city": "BOSCOBEL",
            "state": "WI",
            "postal_code": "538051642",
            "telephone_number": "608-375-4112"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 1st St SW",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "MN",
            "postal_code": "559050001",
            "country_code": "US",
            "telephone_number": "507-284-2511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCLIMON",
        "first_name": "JENNIFER",
        "middle_name": "K",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-22",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MN",
            "license": "R1775428",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WI",
            "license": "11966",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "758137000",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00448253",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lorenz Chiropractic Office LLC
• Jennifer Lund
• Lindsey Lund, PTA
• Judith C Lyness, NP
• Mariah M Mayne, RDH
• Colleen L McCurry, M.D.
• Collin Perry McDowell, NP
• Michael S. Mecikalski, D.D.S.
• Memorial Hospital of Boscobel (Boscobel Area Health Care)
• Memorial Hospital of Boscobel (Gundersen Boscobel Area Hospital and Clinics)

• Certified Registered Nurse Anesthetist in Boscobel, WI
• Providers in Boscobel, WI by specialty
• Certified Registered Nurse Anesthetist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2022; 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.