Individual provider Active NPI

Kaitlyn Halas Jakubec, CRNA

  • Certified Registered Nurse Anesthetist
  • Cleveland, OH
National Provider Identifier
1184920712
Registry record updated Oct 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN.319699 Issued in OH
Practice address
9500 Euclid Ave
Cleveland, OH 44195-0001
Phone
(440) 233-8181
Fax
(440) 233-8182
NPI assigned
Jan 29, 2011
Last updated
Oct 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2026

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 RN.319699 OH Primary

Addresses

Primary practice location

9500 Euclid Ave
Cleveland, OH 44195-0001

Mailing address

PO Box 638144
Cincinnati, OH 45263-8144
Phone (440) 233-8181

Other identifiers 1

IdentifierTypeStateIssuer
3128332MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, NY, NC3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20110301000492 OH Practitioner - Certified Registered Nurse Anesthetist (Crna) 8921289604 Reassigns benefits to 11 organizations
I20181130000447 NY Practitioner - Certified Registered Nurse Anesthetist (Crna) 8921289604 Reassigns benefits to 2 organizations
I20230308001316 NC Practitioner - Certified Registered Nurse Anesthetist (Crna) 8921289604 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memorial Anesthesiology GroupGroup PAC ID 8729977129, 298 clinicians
Promedica Central PhysiciansGroup PAC ID 2365348190, 785 clinicians

Practice addresses (Care Compare)

1275 York Ave
New York, NY 10065-6007
Phone (212) 639-2000

2142 N Cove Blvd
Toledo, OH 43606-3895
Phone (419) 291-4000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.59 of 100Reported as group
Quality
74.46
Promoting interoperability
99
Improvement activities
40
Cost
75

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

Merit-based Incentive Payment System (MIPS)

Final score
77.79 of 100Reported as group
Quality
80.63
Improvement activities
40
Cost
49.95

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5704NCMDPhysical Therapy Assistant
RN.319699OHMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
University Primary Care Practices Inc Current Accepting new patients
American Anesthesiology of North Carolina, PLLC CurrentSince Jan 22, 2023 Accepting new patients
Promedica Central Physicians CurrentSince Dec 1, 2025 Accepting new patients
American Anesthesiology of North Carolina, PLLC Nurse Anesthetist, Certified Registered CurrentSince Jan 22, 2023 Accepting new patients
University Primary Care Practices Inc CurrentSince May 6, 2024 Accepting new patients
Anesthesia & Intensive Care Consultants,Inc. Nurse Anesthetist, Certified Registered CurrentSince Feb 27, 2023 Accepting new patients
Somc Medical Care Foundation, Inc. CurrentSince May 8, 2017 Accepting new patients
Northstar Anesthesia of Ohio LLC CurrentSince Sep 10, 2017 Accepting new patients
Radius Anesthesia of Ohio, LLC CurrentSince Feb 1, 2024 Accepting new patients
Somc Medical Care Foundation, Inc. Current Accepting new patients
Memorial Anesthesiology Group Nurse Anesthetist, Certified Registered CurrentSince Oct 5, 2024 Accepting new patients
Trustees of Columbia University in the City of New York Nurse Anesthetist, Certified Registered CurrentSince Jan 26, 2024 Accepting new patients
Trustees of Columbia University in the City of New York Current Accepting new patients
Northern Ohio Eye Center, Inc. CurrentSince Sep 28, 2016 Accepting new patients
Southwest Ohio Anesthesia Consultants LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 27, 2023 Accepting new patients
Somc Medical Care Foundation, Inc. Nurse Anesthetist, Certified Registered CurrentSince May 8, 2017 Accepting new patients
Dayton Anesthesia & Pain Services, LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 30, 2017 Accepting new patients
Ohio Anesthesia Group, Inc Nurse Anesthetist, Certified Registered CurrentSince Jun 11, 2019 Accepting new patients
Promedica Central Physicians CurrentSince Dec 1, 2025 Accepting new patients
University Hospitals Medical Group Inc CurrentSince May 6, 2024 Accepting new patients
Trustees of Columbia University in the City of New York CurrentSince Jan 26, 2024 Accepting new patients
Columbus Anesthesia Services LLC CurrentSince Feb 1, 2024 Accepting new patients
University Primary Care Practices Inc CurrentSince May 6, 2024 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Vision Surgery Center, LLC Past Accepting new patients

Locations (25 of 26)

3100 Spring Forest Rd
Ste 130
Raleigh, NC 27616
Phone (919) 882-0705

4420 Lake Boone Trl
Raleigh, NC 27607
Phone (919) 784-3034

111 Town Square Pl
Ste 420
Jersey City, NJ 07310
Phone (201) 258-4700

1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796

1275 York Ave
New York, NY 10065
Phone (212) 639-3813

161 Fort Washington Ave
New York, NY 10032
Phone (212) 305-8559

525 E 68th St
New York, NY 10065
Phone (212) 746-2846

622 W 168th St
New York, NY 10032
Phone (212) 305-4931

633 3rd Ave
Fl 4
New York, NY 10017
Phone (646) 227-3764

525 E Market St
Akron, OH 44304
Phone (330) 375-6350

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

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

11100 Euclid Ave
Cleveland Heights, OH 44106

100 E Campus View Blvd
Ste 250
Columbus, OH 43235
Phone (267) 817-8902

175 S 3rd St
Ste 200
Columbus, OH 43215
Phone (267) 817-8902

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

405 W Grand Ave
Dayton, OH 45405
Phone (937) 226-3200

6355 Pearl Rd
Parma Heights, OH 44130
Phone (440) 886-1010

6357 Pearl Rd
Parma Heights, OH 44130
Phone (440) 886-1010

1805 27th St
Portsmouth, OH 45662
Phone (740) 356-5000

1111 Hayes Ave
Sandusky, OH 44870
Phone (419) 557-7455

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

2109 Hughes Dr
Ste 450
Toledo, OH 43606
Phone (419) 251-3112

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: kjakubec576233@ehrdirect.uhhospitals.org

Organizations & group practices 25

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

View all 25

Hospital & facility affiliations 7

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": "1296259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791504000000",
    "number": "1184920712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 638144",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452638144",
            "telephone_number": "440-233-8181",
            "fax_number": "440-233-8182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 EUCLID AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441950001",
            "telephone_number": "440-233-8181",
            "fax_number": "440-233-8182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAKUBEC",
        "first_name": "KAITLYN",
        "middle_name": "HALAS",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-29",
        "last_updated": "2026-10-09",
        "certification_date": "2026-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "RN.319699",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3128332",
            "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 Oct 9, 2026; 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.