NPIMap

Individual provider Active NPI

Jon Waltjer, CRNA

  • Certified Registered Nurse Anesthetist
  • Yankton, SD
National Provider Identifier
1972945160
Registry record updated Jul 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
SD-CRNA CR000821 Issued in SD
Practice address
501 Summit St
Yankton, SD 57078-3855
Phone
(605) 668-8000
NPI assigned
Jul 29, 2013
Last updated
Jul 29, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2013

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 SD-CRNA CR000821 SD Primary

Addresses

Primary practice location

501 Summit St
Yankton, SD 57078-3855

Mailing address

2912 Masters Ave
Yankton, SD 57078-5357
Phone (605) 359-6954

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130924000833 SD Practitioner - Certified Registered Nurse Anesthetist (Crna) 4587808902 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sacred Heart Health ServicesGroup PAC ID 6103729066, 151 clinicians

Practice addresses (Care Compare)

1000 W 4TH St
Suite 8
Yankton, SD 57078-3700

501 Summit St
Yankton, SD 57078-3855
Phone (605) 668-8795

910 E 20TH St
Sioux Falls, SD 57105-1012
Phone (605) 334-6730

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SD-CRNA CR000821SDMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Sacred Heart Health Services CurrentSince Aug 13, 2013 Accepting new patients
Avera McKennan CurrentSince Feb 10, 2020 Accepting new patients
Siouxland Anesthesiology, LTD Nurse Anesthetist, Certified Registered CurrentSince Nov 27, 2023 Accepting new patients
Sacred Heart Health Services Current Accepting new patients
Sioux Falls Specialty Hospital, LLP CurrentSince Sep 19, 2025 Accepting new patients
Sioux Falls Specialty Hospital, LLP CurrentSince Sep 19, 2025 Accepting new patients
Sacred Heart Health Services Nurse Anesthetist, Certified Registered CurrentSince Aug 13, 2013 Accepting new patients
Avera McKennan Nurse Anesthetist, Certified Registered CurrentSince Feb 10, 2020 Accepting new patients
Avera McKennan Current Accepting new patients
Avera Sacred Heart Hospital Past Accepting new patients

Locations

909 N Iowa Ave
Dell Rapids, SD 57022
Phone (605) 428-5431

101 Tower Rd
Ste 201
North Sioux City, SD 57049
Phone (605) 232-3332

600 N Sioux Point Rd
North Sioux City, SD 57049
Phone (605) 217-4320

910 E 20th St
Sioux Falls, SD 57105
Phone (602) 338-7098

501 Summit St
Yankton, SD 57078
Phone (605) 655-1201

Organizations & group practices 10

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.

Hospital & facility affiliations 7

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

NPI Registry JSON

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

{
    "created_epoch": "1375056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375056000000",
    "number": "1972945160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2912 MASTERS AVE",
            "city": "YANKTON",
            "state": "SD",
            "postal_code": "570785357",
            "telephone_number": "605-359-6954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 SUMMIT ST",
            "city": "YANKTON",
            "state": "SD",
            "postal_code": "570783855",
            "telephone_number": "605-668-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTJER",
        "first_name": "JON",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-29",
        "last_updated": "2013-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "SD",
            "license": "SD-CRNA CR000821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yankton, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2013; 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.