MR. JEFFREY LEE JERDE CRNA
NPI 1780614941
Nurse Anesthetist, Certified Registered in Tomah, WI
NPI Status: Active since July 04, 2006
Contact Information
501 GOPHER DR
TOMAH, WI
ZIP 54660
Phone: (608) 372-2181
- Individual
- Male
- Nurse Anesthetist, Certified Registered
- Accepts Insurance
About JEFFREY JERDE
This page provides the complete NPI Profile along with additional information for Jeffrey Jerde, a provider established in Tomah, Wisconsin with a medical specialization in Nurse Anesthetist, Certified Registered. The healthcare provider is registered in the NPI registry with number 1780614941 assigned on July 2006. The practitioner's primary taxonomy code is 367500000X with license number 81297-030 (WI). The provider is registered as an individual and his NPI record was last updated 5 years ago.
- NPI
- 1780614941
- Provider Name
- MR. JEFFREY LEE JERDE CRNA
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 501 GOPHER DR TOMAH, WI 54660
- Location Phone
- (608) 372-2181
- Mailing Address
- 501 GOPHER DR TOMAH, WI 54660
- Mailing Phone
- (608) 372-2181
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 07-04-2006
- Last Update Date
- 01-22-2021
- Code Navigator
Location Map
Secondary Locations
- 1032 E Sumner St
Hartford, WI 53027
(262) 670-7223
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Anesthetist, Certified Registered
- Taxonomy Code
- 367500000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 81297-030
- License State
- WI
- Taxonomy Description
- (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 367500000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Anesthetist, Certified Registered | 149023 (MO) |
| 2 | 367500000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Anesthetist, Certified Registered | R 172688-8 (MN) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Engage by Medica Bronze HSA - EPO
- Engage by Medica Bronze Share - EPO
- Engage by Medica Expanded Bronze Standard - EPO
- Engage by Medica Gold $0 Copay PCP Visits - EPO
- Engage by Medica Gold Share - EPO
- Engage by Medica Gold Standard - EPO
- Engage by Medica Silver $0 Copay PCP Visits - EPO
- Engage by Medica Silver Share - EPO
- Engage by Medica Silver Standard - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1780614941, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 69. The final step is to find the difference between that total and the next multiple of ten (70 - 69 = 1).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 69 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1780614941, enumerated as an "individual" on July 04, 2006.
The provider is located at 501 GOPHER DR TOMAH, WI 54660 and the phone number is (608) 372-2181.
Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
The provider might be accepting Accepts: Medica. Please consult your insurance carrier or call the provider to verify.
