Active NPI
Andrew Jones, CRNA
- Certified Registered Nurse Anesthetist
- Tomah, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 4538-33
- Practice address
- 501 Gopher Dr
Tomah, WI 54660-4513 - Phone
- (608) 372-2181
- NPI assigned
- Feb 2, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 4538-33 | WI | Primary |
Addresses
Primary practice location
501 Gopher Dr
Tomah, WI 54660-4513
Mailing address
529 E Lake Ave
Wisconsin Dells, WI 53965-9745
Phone (608) 253-0309
Other practice location 1
2817 New Pinery Rd
Portage, WI 53901-9240
Phone (608) 742-4131
Other practice location 2
8901 W Lincoln Ave
West Allis, WI 53227-2409
Phone (414) 328-6000
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00268772 | Other | MO | RAILROAD MEDICARE |
| 100017349 | Medicaid | WI | |
| 917459406 | Medicaid | MO |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ajones15131@direct.monroeclinic.org | Direct | Tomah Memorial Hospital Inc |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
707 14TH St
Baraboo, WI 53913-1539
Phone (608) 356-1400
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4538-33 | WI | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tomah Memorial Hospital Inc | Current | Accepting new patients | |
| Divine Savior Healthcare, Inc. | Current | Accepting new patients | |
| Dean Health Systems, Inc. | Current | Accepting new patients | |
| The Medical College of Wisconsin, Inc. | Current | Accepting new patients | |
| Divine Savior Healthcare, Inc. | Current | Accepting new patients | |
| Tomah Memorial Hospital Inc | Current | Accepting new patients | |
| Dean Health Systems, Inc | Current | Accepting new patients |
Locations
29980 Network Pl
Chicago, IL 60673
707 14th St
Baraboo, WI 53913
Phone (608) 356-1400
5000 W Chambers St
Milwaukee, WI 53210
Phone (414) 447-2089
2301 N Lake Dr
Milwaukee, WI 53211
Phone (414) 270-4932
1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056
515 22nd Ave
Monroe, WI 53566
Phone (608) 324-1000
2817 New Pinery Rd
Portage, WI 53901
Phone (608) 745-4598
501 Gopher Dr
Tomah, WI 54660
Phone (608) 371-2181
8701 Watertown Plank Rd
Wauwatosa, WI 53226
Phone (414) 456-4100
8901 W Lincoln Ave
West Allis, WI 53227
Phone (414) 328-6000
Interoperability endpoints
- ajones552317@direct-ehr-ssmhc.com
Organizations & group practices 7
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.
-
- Allergy & Immunology Physician
- Madison, WI
- NPI 1053358846
-
- General Acute Care Hospital
- Portage, WI
- NPI 1124083894
-
- Internal Medicine Physician
- Milwaukee, WI
- NPI 1699720086
-
- Critical Access Hospital
- Tomah, WI
- NPI 1992970453
-
- Durable Medical Equipment & Medical Supplies
- Portage, WI
- NPI 1427085679
-
- Rural Health Clinic/Center
- Portage, WI
- NPI 1386154417
-
- Medicare Defined Swing Bed Hospital Unit
- Tomah, WI
- NPI 1205978046
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Baraboo, WI
- NPI 1386641207
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706745600000",
"number": "1982742847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "529 E LAKE AVE",
"city": "WISCONSIN DELLS",
"state": "WI",
"postal_code": "539659745",
"telephone_number": "608-253-0309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 GOPHER DR",
"city": "TOMAH",
"state": "WI",
"postal_code": "546604513",
"telephone_number": "608-372-2181"
}
],
"practiceLocations": [
{
"address_1": "2817 New Pinery Rd",
"address_purpose": "LOCATION",
"city": "Portage",
"state": "WI",
"postal_code": "539019240",
"country_code": "US",
"telephone_number": "608-742-4131",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8901 W Lincoln Ave",
"address_purpose": "LOCATION",
"city": "West Allis",
"state": "WI",
"postal_code": "532272409",
"country_code": "US",
"telephone_number": "414-328-6000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JONES",
"first_name": "ANDREW",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-02",
"last_updated": "2024-02-01",
"certification_date": "2024-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "WI",
"license": "4538-33",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00268772",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100017349",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "917459406",
"state": "MO"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ajones15131@direct.monroeclinic.org",
"affiliation": "Y",
"affiliationName": "Tomah Memorial Hospital Inc",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "ajones15131@direct.monroeclinic.org",
"address_1": "501 Gopher Dr",
"city": "Tomah",
"state": "WI",
"country_code": "US",
"postal_code": "546604513",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Tomah, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2024; 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.