Active NPI
Jaclyn Rochefort
- Certified Registered Nurse Anesthetist
- Albany, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 10000196
- Practice address
- 1046 6TH Ave SW
Albany, OR 97321-1916 - Phone
- (541) 812-4000
- NPI assigned
- Nov 13, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 4704326890 | MI | |
| Certified Registered Nurse Anesthetist | 367500000X | 10000196 | OR | Primary |
Addresses
Primary practice location
1046 6TH Ave SW
Albany, OR 97321-1916
Mailing address
PO Box 1188
Corvallis, OR 97339-1188
Other practice location 1
5381 Frovan Pl
Saginaw, MI 48638-5573
Phone (989) 550-3033
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jrochefort243794@samhealth.direct-ci.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR, MI
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1100 S Van Dyke Rd
Bad Axe, MI 48413-9615
Phone (989) 269-9521
400 Hobart St
Cadillac, MI 49601-2331
Phone (231) 876-3876
Hospital & facility affiliations
- Munson Healthcare Cadillac Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.14 of 100
- Quality
- 85.78
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.31
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.77 of 100
- Quality
- 88.09
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 84.48
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 85.92
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.37 of 100
- Quality
- 92.31
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 80.9
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10000196 | OR | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emerald Valley Anesthesia | Single Specialty | Current | Accepting new patients |
| Munson Healthcare Cadillac | Single Specialty | Current | Accepting new patients |
| Huron Pathology Services PC | Single Specialty | Current | Accepting new patients |
| Munson Medical Group | Current | Accepting new patients | |
| Munson Healthcare Otsego Memorial Hospital | Single Specialty | Current | Accepting new patients |
| McLaren Thumb Region | Single Specialty | Current | Accepting new patients |
| McLaren Thumb Region | Current | Accepting new patients | |
| Munson Healthcare Otsego Memorial Hospital | Single Specialty | Current | Accepting new patients |
| Munson Healthcare Cadillac | Single Specialty | Current | Accepting new patients |
| Munson Medical Group | Single Specialty | Current | Accepting new patients |
| McLaren Thumb Region | Single Specialty | Current | Accepting new patients |
| Munson Medical Group | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Munson Healthcare Otsego Memorial Hospital | Single Specialty | Current | Accepting new patients |
| Munson Healthcare Otsego Memorial Hospital | Single Specialty | Current | Accepting new patients |
| Munson Healthcare Cadillac | Single Specialty | Past | Accepting new patients |
Locations
3775 Momentum Pl
Chicago, IL 60689
2891 Momentum Pl
Chicago, IL 60689
1100 S Van Dyke Rd
Bad Axe, MI 48413
Phone (989) 269-9521
400 Hobart St
Cadillac, MI 49601
Phone (231) 876-7200
825 N Center Ave
Gaylord, MI 49735
Phone (989) 731-2100
829 N Center Ave
Ste 210
Gaylord, MI 49735
Phone (989) 731-7860
1200 Sixth St
Ste 200
Traverse City, MI 49684
1105 Sixth St
Traverse City, MI 49684
Phone (231) 922-9000
400 10th St E
Waconia, MN 55387
2115 NE Wyatt Ct
Ste 201
Bend, OR 97701
Phone (541) 610-7246
590 Country Club Pkwy
Ste A
Eugene, OR 97401
Phone (541) 683-1559
360 S Garden Way
Ste 290
Eugene, OR 97401
Phone (541) 844-1807
360 S Garden Way
Ste 230
Eugene, OR 97401
Phone (541) 344-4168
74B Centennial Loop
Ste 200
Eugene, OR 97401
Phone (541) 393-0925
3355 Riverbend Dr
Ste 110
Springfield, OR 97477
Phone (541) 687-1336
2445 Beverly St
Springfield, OR 97477
Phone (541) 284-3052
Interoperability endpoints
- jrochefort243794@samhealth.direct-ci.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.
-
- Certified Registered Nurse Anesthetist
- Springfield, OR
- NPI 1679355820
Single Specialty
-
- Certified Registered Nurse Anesthetist
- Gaylord, MI
- NPI 1376568865
Single Specialty
-
- Cardiovascular Disease Physician
- Traverse City, MI
- NPI 1821398322
Single Specialty
-
- Rural Health Clinic/Center
- Port Austin, MI
- NPI 1558616086
-
- Anesthesiology Physician
- Gaylord, MI
- NPI 1518982073
Single Specialty
-
- Plastic Surgery Physician
- Petoskey, MI
- NPI 1770374530
Single Specialty
-
- General Practice Physician
- Gaylord, MI
- NPI 1821064643
Single Specialty
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cadillac, MI
- NPI 1841696754
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573603200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668384000000",
"number": "1184269243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1188",
"city": "CORVALLIS",
"state": "OR",
"postal_code": "973391188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1046 6TH AVE SW",
"city": "ALBANY",
"state": "OR",
"postal_code": "973211916",
"telephone_number": "541-812-4000"
}
],
"practiceLocations": [
{
"address_1": "5381 Frovan Pl",
"address_purpose": "LOCATION",
"city": "Saginaw",
"state": "MI",
"postal_code": "486385573",
"country_code": "US",
"telephone_number": "989-550-3033",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROCHEFORT",
"first_name": "JACLYN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-11-13",
"last_updated": "2022-11-14",
"certification_date": "2022-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MI",
"license": "4704326890",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OR",
"license": "10000196",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jrochefort243794@samhealth.direct-ci.com",
"affiliation": "N",
"address_1": "1046 6th Ave SW",
"city": "Albany",
"state": "OR",
"country_code": "US",
"postal_code": "973211916",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Albany, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2022; 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.