MR. JAY BIESENTHAL CRNA
NPI 1669471827
Nurse Anesthetist, Certified Registered in South Bend, IN
About Mr. Jay Biesenthal Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. JAY BIESENTHAL CRNA (NPI 1669471827) is an individual nurse anesthetist, certified registered in South Bend, Indiana, licensed in Indiana (28230243A) and active in the NPI registry since July 2005. He is affiliated with Saint Joseph Regional Medical Center, maintains a secondary practice location in Fayetteville, and is a graduate of Other (2004).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mr. Jay Biesenthal Crna is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
12Medicare enrollment records show Jay Biesenthal reassigns Medicare billing to 12 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
South Bend, IN 46617
- Reassigned Medicare billing, Indiana enrollment
- 211 clinicians in this Medicare group
South Bend, IN 46601
- Reassigned Medicare billing, Indiana enrollment
- 216 clinicians in this Medicare group
Mishawaka, IN 46545
- Reassigned Medicare billing, Indiana enrollment
- 54 clinicians in this Medicare group
Mishawaka, IN 46545
- Reassigned Medicare billing, Indiana enrollment
- 76 clinicians in this Medicare group
Elkhart, IN 46514
- Reassigned Medicare billing, Indiana enrollment
- Medicare enrollment name: Great Lakes Anesthesia PC
- 60 clinicians in this Medicare group
Bremen, IN 46506
- Reassigned Medicare billing, Indiana enrollment
- 97 clinicians in this Medicare group
Goshen, IN 46526
- Reassigned Medicare billing, Indiana enrollment
- 83 clinicians in this Medicare group
La Porte, IN 46350
- Reassigned Medicare billing, Indiana enrollment
- 141 clinicians in this Medicare group
Holland, MI 49424
- Reassigned Medicare billing, Michigan enrollment
- 2,446 clinicians in this Medicare group
Van Wert, OH 45891
- Reassigned Medicare billing, Indiana enrollment
- 100 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Saint Joseph Regional Medical Center
Acute Care Hospitals · Mishawaka, INGoshen Hospital
Acute Care Hospitals · Goshen, INParkview Huntington Hospital
Acute Care Hospitals · Huntington, INUnity Physicians Hospital
Acute Care Hospitals · Mishawaka, INOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jay Biesenthal's NPI number?
The NPI number for Jay Biesenthal is 1669471827. It was assigned to this individual provider in the NPPES registry on July 20, 2005.
Where is Jay Biesenthal located?
Jay Biesenthal practices at 211 N Eddy St, South Bend, IN 46617. The listed phone number is (574) 234-8161.
What is Jay Biesenthal's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Jay Biesenthal enrolled in Medicare?
Yes. Jay Biesenthal is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Jay Biesenthal's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jay Biesenthal reassigns Medicare benefits to 12 organizations: The South Bend Clinic LLC (South Bend, IN), Saint Joseph Regional Medical Center-South Bend Campus, Inc. (South Bend, IN), United Surgeons, LLC (Mishawaka, IN), Cep America - Anesthesia PC (Mishawaka, IN), Great Lakes Anesthesia, P.C. (Elkhart, IN) and 7 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jay Biesenthal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jay Biesenthal accept?
Health plans from CareSource and Cigna Healthcare list Jay Biesenthal as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Jay Biesenthal affiliated with any hospitals?
According to CMS data, Jay Biesenthal is affiliated with Saint Joseph Regional Medical Center, Goshen Hospital, Parkview Huntington Hospital and Unity Physicians Hospital.
When was this NPI record last updated?
The NPPES record for Jay Biesenthal was last updated on June 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mr. Jay Biesenthal, CRNA · NPI 1669471827
Nurse Anesthetist, Certified Registered physician in South Bend, Indiana. Individual provider, active in the CMS NPPES registry since July 20, 2005.
## Identity
- **NPI:** 1669471827 (Entity type: Individual)
- **Enumerated:** July 20, 2005
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 28230243A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 211 N EDDY ST, South Bend, IN 46617-2808
- **Phone:** (574) 234-8161
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** 12 organizations under Medicare reassignment (form CMS-855R): The South Bend Clinic LLC (NPI 1073680419, South Bend, IN); Saint Joseph Regional Medical Center-South Bend Campus, Inc. (NPI 1396154324, South Bend, IN); United Surgeons, LLC (NPI 1376148593, Mishawaka, IN); Cep America - Anesthesia PC (NPI 1306722418, Mishawaka, IN); Great Lakes Anesthesia, P.C. (NPI 1720039977, Elkhart, IN); and 7 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2004
## Record status
- **NPPES last updated:** June 17, 2025
- **Other identifiers:** Medicaid 201384080 (IN); Medicaid 8052067 (NC)
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Source: [NPI Profile](https://npiprofile.com/npi/1669471827) · Data from the CMS NPPES public registry.