Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Jay Biesenthal, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1669471827

Mr. Jay Biesenthal, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in South Bend, Indiana. Qualified in 2004, 22 years ago. Practices with Australia Anesthesia Management LLC, a 57-clinician group and works from 2 locations. Licensed in Indiana and North Carolina.

Years since qualifying
22
Licensed in
IN, NC
In the registry since
2005
Specialties on file
2
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

See every abbreviation used in this directory →

Practice location Address checks out

211 N Eddy St
South Bend, IN 46617-2808
Phone: (574) 234-8161
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1638 Owen Dr, Fayetteville, NC 28304-3424 — (910) 609-6440

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 28230243A (IN)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 127107 (NC)

Record details

NPI number1669471827
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedJuly 20, 2005
Last updated in NPPESJune 17, 2025
Certification dateJune 17, 2025
Mailing address401 Charleston Dr, Clayton, NC 27527-3950

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Australia Anesthesia Management Llc — 57 clinicians
Accepts Medicare assignment Not indicated
Practice locations5 on file with Medicare

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