MR. JAY BIESENTHAL CRNA
NPI 1669471827
Nurse Anesthetist, Certified Registered in South Bend, IN

NPI Status: Active since July 20, 2005

Contact Information

211 N EDDY ST
SOUTH BEND, IN
ZIP 46617
Phone: (574) 234-8161

Get Directions Reviews

  • Individual
  • Male
  • Years of Experience 22
  • Nurse Anesthetist, Certified Registered
  • Accepts Insurance
  • May Accept Medicare Approved Payment

About JAY BIESENTHAL

This page provides the complete NPI Profile along with additional information for Jay Biesenthal, a provider established in South Bend, Indiana with a medical specialization in Nurse Anesthetist, Certified Registered and more than 22 years of experience. The healthcare provider is registered in the NPI registry with number 1669471827 assigned on July 2005. The practitioner's primary taxonomy code is 367500000X with license number 28230243A (IN). The provider is registered as an individual and his NPI record was last updated June 2025.

NPI
1669471827
Provider Name
MR. JAY BIESENTHAL CRNA
Gender
Male
Entity Type
Individual
Location Address
211 N EDDY ST SOUTH BEND, IN 46617
Location Phone
(574) 234-8161
Mailing Address
401 CHARLESTON DR CLAYTON, NC 27527
Mailing Phone
(919) 553-4527
Mailing Fax
Medical School Name
OTHER
Graduation Year
2004
Is Sole Proprietor?
No
Enumeration Date
07-20-2005
Last Update Date
06-17-2025
Code Navigator

Location Map

Secondary Locations

  • 1638 Owen Dr
    Fayetteville, NC 28304
    (910) 609-6440

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.
28230243A
License State
IN
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)
1367500000XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Anesthetist, Certified Registered

127107 (NC)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Bronze First 7500 $25 Generic Drugs - HMO
  • Bronze First 7500 $25 Generic Drugs Adult Vision & Fitness - HMO
  • Diabetes Gold 1100 $0 Select Drugs & Specialized Services - HMO
  • Diabetes Gold 1100 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
  • Diabetes Silver 4000 $0 Select Drugs & Specialized Services - HMO
  • Diabetes Silver 4000 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
  • Gold 1500 $15 Generic Drugs - HMO
  • Gold 1500 $15 Generic Drugs Adult Vision & Fitness - HMO
  • HDHP Preventive Silver 5500 $0 Select Drugs - HMO
  • Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services - HMO
  • Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
  • Healthy Heart Silver 4500 $0 Select Drugs & Specialized Services - HMO
  • Healthy Heart Silver 4500 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
  • HSA Eligible Bronze 6000 - HMO
  • Low Premium Bronze 9200 $25 Generic Drugs - HMO
  • Low Premium Bronze 9200 $25 Generic Drugs Adult Vision & Fitness - HMO
  • Low Premium Silver 6000 $3 Generic Drugs - HMO
  • Low Premium Silver 6000 $3 Generic Drugs Adult Vision & Fitness - HMO
  • Platinum Zero $5 Generic Drugs - HMO
  • Platinum Zero $5 Generic Drugs Adult Vision & Fitness - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
201384080MEDICAID (05)IN 
8052067MEDICAID (05)NC 

Medicare Participation & PECOS Enrollment Status

Jay Biesenthal is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • PECOS PAC ID: 7113989823

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20160826000227

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Maybe

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Anesthesia for other procedure on large bowel using an endoscope

Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.

This service was performed 15 times for 15 patients

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Jay Biesenthal is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
PARKVIEW HUNTINGTON HOSPITAL2001 STULTS RD
HUNTINGTON, IN 46750
(260) 355-3000Acute Care Hospitals

Reviews for MR. JAY BIESENTHAL CRNA

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1669471827
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2612987284
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 2 + 9 + 8 + 7 + 2 + 8 + 4 + 24 = 73
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 73 = 77

The NPI number 1669471827 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1073511598DR. RON CLARK M.D.
Individual
Orthopaedic Surgery211 N EDDY ST
SOUTH BEND, IN 46617
(574) 237-9294
1093704702DR. THOMAS P BARBOUR MD
Individual
Internal Medicine211 N EDDY ST
SOUTH BEND, IN 46617
(574) 237-9340
1932198488 ROBERT W CLAUSEN MD
Individual
Internal Medicine (Allergy & Immunology)211 N EDDY ST
SOUTH BEND, IN 46617
(574) 237-9217
1528058344DR. GLEN A DAVIS MD
Individual
Pediatrics211 N EDDY ST
SOUTH BEND, IN 46617
(574) 233-7337
1679563233DR. ROBERT D SLABAUGH MD
Individual
Radiology (Diagnostic Radiology)211 N EDDY ST
SOUTH BEND, IN 46617
(574) 237-9203
1952391526DR. MARTYN A WILLS MD
Individual
Ophthalmology211 N EDDY ST
SOUTH BEND, IN 46617
(574) 237-9334
1912997289 MARCY L HERBERT RD
Individual
Dietitian, Registered211 N EDDY ST
SOUTH BEND, IN 46617
(574) 237-9331
1427048834DR. MARK J MEEKHOF MD
Individual
Obstetrics & Gynecology211 N EDDY ST
SOUTH BEND, IN 46617
(574) 237-9261
1578554648DR. STEPHEN L ANDERSON MD
Individual
Internal Medicine211 N EDDY ST
SOUTH BEND, IN 46617
(574) 232-3327
1376524884DR. YUPADI PRASERTWANITCH MD
Individual
Anesthesiology211 N EDDY ST
SOUTH BEND, IN 46617
(574) 299-2450
1740205269 DEBORAH L. FORREST N.P.
Individual
Nurse Practitioner (Family)211 N EDDY ST
SOUTH BEND, IN 46617
(574) 237-9200
1205852241 KATHLEEN K. GATTMAN RD
Individual
Dietitian, Registered211 N EDDY ST
SOUTH BEND, IN 46617
(574) 237-9331
1255440152 SHARON MARIE FOX APRN-BC
Individual
Nurse Practitioner (Primary Care)211 N EDDY ST
SOUTH BEND, IN 46617
(574) 234-8161
1407997182MRS. HOLLY MARIS BALLARD CPT
Individual
Pharmacy Technician211 N EDDY ST
SOUTH BEND, IN 46617
(574) 237-9295
1538209432MR. DAVID CARL SNODGRASS RPH
Individual
Pharmacist211 N EDDY ST
SOUTH BEND, IN 46617
(574) 237-9295
1184953374 KARA K. ROWE R.D.
Individual
Dietitian, Registered211 N EDDY ST
SOUTH BEND, IN 46617
(574) 237-9331
1013264316 JESSICA A HECKMAN R.D.
Individual
Dietitian, Registered211 N EDDY ST
SOUTH BEND, IN 46617
(574) 237-9331
1326291915DR. BRIAN MICHAEL HUGHES M.D.
Individual
Preventive Medicine (Preventive Medicine/Occupational Environmental Medicine)211 N EDDY ST
SOUTH BEND, IN 46617
(574) 246-8816
1316936024DR. THOMAS A BOWERS MD
Individual
Radiology (Diagnostic Radiology)211 N EDDY ST
SOUTH BEND, IN 46617
(574) 237-9203
1851559520 ELIZABETH A. BEVIS
Individual
Speech-Language Pathologist211 N EDDY ST
SOUTH BEND, IN 46617
(574) 237-9200

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1669471827, enumerated in the NPI registry as an "individual" on July 20, 2005

The provider is located at 211 N Eddy St South Bend, In 46617 and the phone number is (574) 234-8161

The provider's speciality is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X

The provider has more than 22 years of experience.

The provider might be accepting Accepts: CareSource, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The most common procedures or services performed by this practitioner are: Anesthesia for other procedure on large bowel using an endoscope.

The practitioner is affiliated to the following hospital(s): PARKVIEW HUNTINGTON HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on July 20, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.