Individual provider Active NPI

Jacqueline Madere, CRNA

  • Certified Registered Nurse Anesthetist
  • Cleveland, OH
National Provider Identifier
1083037352
Registry record updated Mar 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN351140-COA15572 Issued in OH
Practice address
2500 Metrohealth Dr
Cleveland, OH 44109-1900
Phone
(216) 778-7800
NPI assigned
Jan 22, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X APRN9458956 FL
Certified Registered Nurse Anesthetist 367500000X RN351140-COA15572 OH Primary

Addresses

Primary practice location

2500 Metrohealth Dr
Cleveland, OH 44109-1900

Mailing address

2500 Metrohealth Dr
Cleveland, OH 44109-1900
Phone (216) 778-7800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, NY, WV3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20140227001202 OH Practitioner - Certified Registered Nurse Anesthetist (Crna) 6800026428 Reassigns benefits to 8 organizations
I20170818002151 NY Practitioner - Certified Registered Nurse Anesthetist (Crna) 6800026428 Reassigns benefits to 1 organization
I20230105000550 WV Practitioner - Certified Registered Nurse Anesthetist (Crna) 6800026428 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elyria Anesthesia IncorporatedGroup PAC ID 7214902170, 64 clinicians
Northern Ohio Eye Consultants, IncGroup PAC ID 3577537810, 40 clinicians

Practice addresses (Care Compare)

3700 Kolbe Rd
Lorain, OH 44053-1611
Phone (440) 323-8515

7001 S Edgerton Rd
Suite a
Brecksville, OH 44141-4206
Phone (440) 717-0591

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
85.62 of 100Reported as group
Quality
77.5
Promoting interoperability
100
Improvement activities
40
Cost
74.58

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
APRN9458956FLMDCertified Registered Nurse Anesthetist
RN351140-COA15572OHMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Upstate Medical Anesthesiology Group, Inc. CurrentSince Jul 10, 2017 Accepting new patients
University Primary Care Practices Inc CurrentSince Apr 1, 2023 Accepting new patients
Anesthesia Associates of Cincinnati, Inc Nurse Anesthetist, Certified Registered CurrentSince Dec 21, 2022 Accepting new patients
West Virginia University Medical Corporation CurrentSince Nov 23, 2022 Accepting new patients
Northern Ohio Eye Consultants Inc CurrentSince Jan 1, 2022 Accepting new patients
University Hospitals Medical Group Inc CurrentSince Apr 1, 2023 Accepting new patients
The Metrohealth System CurrentSince Sep 1, 2016 Accepting new patients
Elyria Anesthesia Incorporated CurrentSince May 5, 2022 Accepting new patients
Northern Ohio Eye Consultants Inc CurrentSince Jan 1, 2022 Accepting new patients
Ohio Anesthesia Group, Inc Nurse Anesthetist, Certified Registered CurrentSince May 9, 2022 Accepting new patients
University Primary Care Practices Inc CurrentSince Apr 1, 2023 Accepting new patients
The Metrohealth System CurrentSince Sep 1, 2016 Accepting new patients
West Virginia University Medical Corporation CurrentSince Nov 23, 2022 Accepting new patients
University Primary Care Practices Inc Current Accepting new patients

Locations

750 E Adams St
Syracuse, NY 13210
Phone (315) 464-4363

5784 Widewaters Pkwy
Ste 2
Syracuse, NY 13214
Phone (315) 469-1134

7001 S Edgerton Rd
Ste A
Brecksville, OH 44141
Phone (440) 717-0491

6880 W Snowville Rd
Ste 215
Brecksville, OH 44141
Phone (440) 526-1974

1320 Timken Mercy Dr NW
Canton, OH 44708
Phone (330) 489-1000

2600 6th St SW
Canton, OH 44710
Phone (330) 363-2180

2139 Auburn Ave
Cincinnati, OH 45219
Phone (513) 585-0406

9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270

2500 Metrohealth Dr
Cleveland, OH 44109
Phone (216) 778-2348

2740 Carnegie Ave
Cleveland, OH 44115
Phone (216) 621-6132

11100 Euclid Ave
Cleveland Heights, OH 44106

158 W Main Rd
Ste 203
Conneaut, OH 44030
Phone (440) 285-2960

860 E Broad St
Ste I
Elyria, OH 44035
Phone (440) 323-8458

630 E River St
Ste 1
Elyria, OH 44035

630 E River St
Elyria, OH 44035
Phone (440) 329-7450

6701 Rockside Rd
Ste 200
Independence, OH 44131
Phone (216) 674-5230

3700 Kolbe Rd
Lorain, OH 44053
Phone (440) 331-9520

272 Benedict Ave
Norwalk, OH 44857
Phone (419) 668-1341

200 W Lorain St
Oberlin, OH 44074
Phone (440) 775-1211

29000 Center Ridge Rd
Westlake, OH 44145
Phone (440) 414-6046

1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-4500

Interoperability endpoints

  • Direct secure messaging: jmadere355470@direct.wvuhsdirect.com

Organizations & group practices 15

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 15

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1390348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552867200000",
    "number": "1083037352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 METROHEALTH DR",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441091900",
            "telephone_number": "216-778-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 METROHEALTH DR",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441091900",
            "telephone_number": "216-778-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADERE",
        "first_name": "JACQUELINE",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-22",
        "last_updated": "2019-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "APRN9458956",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "RN351140-COA15572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.