Jeremy W Holmen, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

CR000642 Issued in SD

Practice address

401 9TH Ave NW
Watertown, SD 57201-1548

Phone

(605) 882-7910

Fax

(605) 882-7636

NPI assigned

Aug 14, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN, SD, ND3 enrollments

Enrollment records 3

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

TTB Services Prof LLCGroup PAC ID 3476797135, 23 clinicians

Prairie Lakes Health Care System IncGroup PAC ID 8628987823, 111 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Prairie Lakes Healthcare System, Inc Hospital, Watertown, SD, CCN 430005

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Prairie Lakes Health Care System Inc

  dba Sanford Watertown Specialty Clinic

  • Rural Acute Care Hospital
  • Watertown, SD
  • NPI 1720166002
  Medicare reassignment Care Compare group NPD
• TTB Services Prof LLC

  • Certified Registered Nurse Anesthetist
  • Sioux Falls, SD
  • NPI 1962743492

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Black Hills Surgical Hospital, LLC

  • Special Hospital
  • Rapid City, SD
  • NPI 1376896621
  Medicare reassignment NPD
• City of Brookings

  dba Brookings Health System

  • Anesthesiology Physician
  • Brookings, SD
  • NPI 1932281029
  Medicare reassignment NPD
• Ikare Anesthesia LLC

  • Certified Registered Nurse Anesthetist
  • Aberdeen, SD
  • NPI 1396594198

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Cssa, LLC

  • Certified Registered Nurse Anesthetist
  • Fargo, ND
  • NPI 1942830856

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Pipestone County Medical Center

  • Critical Access Hospital
  • Pipestone, MN
  • NPI 1447300587
  Medicare reassignment NPD
• Pipestone County Medical Center

  • Critical Access Hospital
  • Pipestone, MN
  • NPI 1598751240
  Medicare reassignment NPD
• Sanford Health Network

  dba Sanford Care Center Vermillion

  • Critical Access Hospital
  • Vermillion, SD
  • NPI 1790721280
  Medicare reassignment
• Black Hills Surgical Hospital, LLC

  • Anesthesiology Physician
  • Rapid City, SD
  • NPI 1972630275
  NPD
• City of Brookings

  dba Avera Medical Group a Department of Brookings Health System

  • Multi-Specialty Clinic/Center
  • Brookings, SD
  • NPI 1134558158
  NPD
• City of Brookings

  dba Brookings Health System Arlington Medical Center

  • Rural Health Clinic/Center
  • Arlington, SD
  • NPI 1902123581
  NPD

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972516946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 9TH AVE NW",
            "city": "WATERTOWN",
            "state": "SD",
            "postal_code": "572011548",
            "telephone_number": "605-882-7910",
            "fax_number": "605-882-7636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 9TH AVE NW",
            "city": "WATERTOWN",
            "state": "SD",
            "postal_code": "572011548",
            "telephone_number": "605-882-7910",
            "fax_number": "605-882-7636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLMEN",
        "first_name": "JEREMY",
        "middle_name": "W",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "SD",
            "license": "CR000642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bethany Marie Holden
• Carrie Edith Holden, LPC-MH SUPERVISEE
• Shelly Eileen Holida, M.A. CCC-SLP
• Carolyn Holien
• Holly Place Rescue Mission
• Judy D Holt, CCDC T
• Marci Mae Homola, COTA
• Jessica A Horn, MD
• Sterling Hubbard, DPT
• Shay P Hughes

• Certified Registered Nurse Anesthetist in Watertown, SD
• Providers in Watertown, SD by specialty
• Certified Registered Nurse Anesthetist in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.