Individual provider Active NPI

Jeffrey M Stover, CRNA

  • Certified Registered Nurse Anesthetist
  • Cleveland, OH
National Provider Identifier
1174764674
Registry record updated Mar 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
CPA.10563-NA Issued in OH
Practice address
11100 Euclid Ave
Cleveland, OH 44106-1716
Phone
(216) 844-7330
NPI assigned
Mar 12, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X CPA.10563-NA OH Primary

Addresses

Primary practice location

11100 Euclid Ave
Cleveland, OH 44106-1716

Mailing address

24701 Euclid Ave
3Rd Floor
Euclid, OH 44117-1714
Phone (216) 383-6614

Other practice location 1

7757 Auburn Rd Ste 15
Painesville, OH 44077-9604
Phone (440) 350-0832

Other identifiers 2

IdentifierTypeStateIssuer
2963048MedicaidOH
P00771653OtherOHMEDICARE RAILROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090501000457 OH Practitioner - Certified Registered Nurse Anesthetist (Crna) 2264580125 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Georgetown University School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Hospitals Medical Group IncGroup PAC ID 4789682493, 2,248 clinicians
Lake Erie Sedation Associates, LLCGroup PAC ID 0840536819, 5 clinicians

Practice addresses (Care Compare)

11100 Euclid Ave
Cleveland, OH 44106-1716

13207 Ravenna Rd
Chardon, OH 44024-7032
Phone (216) 383-0100

13207 Ravenna Rd H
Chardon, OH 44024-7032
Phone (216) 383-0100

158 W Main Rd
Conneaut, OH 44030-2039

1611 S Green Rd
Suite 120
South Euclid, OH 44121-4121
Phone (440) 708-0582

Merit-based Incentive Payment System (MIPS)

Final score
91.15 of 100Reported as apm
Quality
82.31
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
81.19 of 100Reported as group
Quality
63.13
Promoting interoperability
100
Improvement activities
40
Cost
74.18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
CPA.10563-NAOHMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Ambulatory Anesthesia Services, LLC CurrentSince Jan 26, 2019 Accepting new patients
Safe Anesthesia Chardon LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 24, 2013 Accepting new patients
University Primary Care Practices Inc Current Accepting new patients
Uh North Ridgeville Endoscopy Center LLC CurrentSince Jul 1, 2022 Accepting new patients
Lake Erie Sedation Associates, LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 2, 2018 Accepting new patients
University Primary Care Practices Inc CurrentSince Jan 1, 2014 Accepting new patients
University Primary Care Practices Inc CurrentSince Jan 1, 2014 Accepting new patients
Ohio Anesthesia Group, Inc Nurse Anesthetist, Certified Registered CurrentSince May 5, 2020 Accepting new patients
Anesthesia Dynamics LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 11, 2022 Accepting new patients
Safe Anesthesia Geneva LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 6, 2014 Accepting new patients
University Hospitals Medical Group Inc CurrentSince Feb 6, 2009 Accepting new patients
The Endoscopy Center at Bainbridge LLC PastSince Apr 1, 2020 Accepting new patients

Locations

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

8185 Washington St
Ste 106
Chagrin Falls, OH 44023

8185 Washington St
Chagrin Falls, OH 44023
Phone (440) 232-6789

8185 Washington St
Ste 6
Chagrin Falls, OH 44023
Phone (440) 708-0582

13207 Ravenna Rd
Chardon, OH 44024
Phone (440) 285-5004

150 7th Ave
Chardon, OH 44024
Phone (440) 285-2900

11100 Euclid Ave
Cleveland Heights, OH 44106

7590 Auburn Rd
Concord Township, OH 44077
Phone (440) 354-1899

7757 Auburn Rd
Ste 15
Concord Township, OH 44077
Phone (440) 709-9150

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

9000 N Main St
Ste 405
Englewood, OH 45415
Phone (937) 320-5050

24701 Euclid Ave
Fl 3
Euclid, OH 44117
Phone (216) 383-6950

870 W Main St
Geneva, OH 44041
Phone (440) 415-0258

32800 Lorain Rd
Ste 2400
North Ridgeville, OH 44039
Phone (440) 406-5562

1611 S Green Rd
Ste 120
South Euclid, OH 44121
Phone (440) 708-0582

6025 Commerce Cir
Ste 2
Willoughby, OH 44094
Phone (440) 585-2750

36000 Euclid Ave
Willoughby Hills, OH 44094
Phone (440) 375-8166

Interoperability endpoints

  • Direct secure messaging: jstover33156@ehrdirect.uhhospitals.org

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1236816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585612800000",
    "number": "1174764674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24701 EUCLID AVE",
            "address_2": "3RD FLOOR",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441171714",
            "telephone_number": "216-383-6614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11100 EUCLID AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441061716",
            "telephone_number": "216-844-7330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7757 Auburn Rd Ste 15",
            "address_purpose": "LOCATION",
            "city": "Painesville",
            "state": "OH",
            "postal_code": "440779604",
            "country_code": "US",
            "telephone_number": "440-350-0832",
            "fax_number": "440-579-0191",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STOVER",
        "first_name": "JEFFREY",
        "middle_name": "M",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-12",
        "last_updated": "2020-03-31",
        "certification_date": "2020-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "CPA.10563-NA",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2963048",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00771653",
            "state": "OH"
        }
    ],
    "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 31, 2020; 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.