Doctor profile · Federal record
Dr. JAY BIESENTHAL, CRNA
Certified Registered Nurse Anesthetist (CMS: CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)) · Certified Registered Nurse Anesthetist · SOUTH BEND, IN
- NPI 1669471827
- 22 yrs in practice
- Licensed in 2 states
- Male
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
211 N EDDY ST
SOUTH BEND, IN 466172808
(574) 234-8161 - Additional location
-
1638 Owen Dr
Fayetteville, NC 283043424
(910) 609-6440
fax (910) 609-5365 - Mailing address
-
401 CHARLESTON DR
CLAYTON, NC 275273950
Credentials & registration
- NPI registered
- July 2005 — 21 yrs on file
- Profile last updated
- June 17, 2025
- Year of graduation
- 2004 — 22 yrs since
- Specialty taxonomy
- 367500000X — NUCC code
- State licenses (2)
- Indiana #28230243A · North Carolina #127107
- Medicaid (2)
- IN #201384080 · NC #8052067
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1669471827. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
28
Distinct HCPCS
2
Medicare allowed
$3,072
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
00811 |
Anesthesia for other procedure on large bowel using an endoscope | 15 | 15 | $119 | |
00142 |
Anesthesia for lens surgery | 13 | 12 | $99 |
In context: peer comparison
Among 3 peers in this city , average services per provider: 32. This provider delivers 0.9× the peer median.Open Payments
Industry payments received
All-time total
$20
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Merck Sharp & Dohme LLC | 1 | $20.38 |