NPIMap

Individual provider Active NPI

Jacob Nicholas Mustar

  • Certified Registered Nurse Anesthetist
  • Akron, OH
National Provider Identifier
1184222812
Registry record updated Feb 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
0020235 Issued in OH
Practice address
444 N Main St
Akron, OH 44310-3110
Phone
(330) 762-2262
NPI assigned
Oct 14, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163W00000X 382581 OH
Certified Registered Nurse Anesthetist 367500000X 0020235 OH Primary

Addresses

Primary practice location

444 N Main St
Akron, OH 44310-3110

Mailing address

7640 Meadow Brooke Way
Northfield, OH 44067-4004
Phone (330) 998-4387

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210225003273 OH Practitioner - Certified Registered Nurse Anesthetist (Crna) 0042625956 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ohio Anesthesia Group, IncGroup PAC ID 9537222138, 130 clinicians

Practice addresses (Care Compare)

3557 Embassy Pkwy
Akron, OH 44333-8358
Phone (440) 350-0832

7500 State Rd
Cincinnati, OH 45255-2439
Phone (513) 624-4500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
382581OHMDRegistered Nurse
0020235OHMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Ohio Anesthesia Consultants LLC Single Specialty CurrentSince Jan 14, 2022 Accepting new patients
Northstar Anesthesia of Ohio LLC Single Specialty CurrentSince Feb 1, 2021 Accepting new patients
Ohio Anesthesia Group, Inc Single Specialty CurrentSince Dec 9, 2025 Accepting new patients
Southwest Ohio Anesthesia Consultants LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 14, 2022 Accepting new patients

Locations

444 N Main St
Akron, OH 44310
Phone (330) 375-6363

3975 Embassy Pkwy
Ste 202
Akron, OH 44333
Phone (330) 668-4085

3000 Hospital Dr
Batavia, OH 45103
Phone (513) 557-3209

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

7500 State Rd
Cincinnati, OH 45255
Phone (513) 624-4034

3557 Embassy Pkwy
Fairlawn, OH 44333
Phone (330) 670-1005

2615 E High St
Springfield, OH 45505
Phone (888) 861-3994

Organizations & group practices 4

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.

Hospital & facility affiliations 12

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": "1602633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614124800000",
    "number": "1184222812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7640 MEADOW BROOKE WAY",
            "city": "NORTHFIELD",
            "state": "OH",
            "postal_code": "440674004",
            "telephone_number": "330-998-4387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 N MAIN ST",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443103110",
            "telephone_number": "330-762-2262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSTAR",
        "first_name": "JACOB",
        "middle_name": "NICHOLAS",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-14",
        "last_updated": "2021-02-24",
        "certification_date": "2021-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "382581",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "0020235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2021; 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.