Individual provider Active NPI

Jed Rivers, CRNA

  • Certified Registered Nurse Anesthetist
  • Bellefontaine, OH
National Provider Identifier
1215035811
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
APRN.CRNA.17745 Issued in OH
Practice address
205 E Palmer Rd
Bellefontaine, OH 43311
Phone
(937) 592-4015
Fax
(937) 292-7148
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2024

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 67562 WV
Certified Registered Nurse Anesthetist 367500000X APRN.CRNA.17745 OH Primary

Addresses

Primary practice location

205 E Palmer Rd
Bellefontaine, OH 43311

Mailing address

205 E Palmer Rd
Bellefontaine, OH 43311-2281
Phone (937) 592-4015

Other practice location 1

401 Matthew St
Marietta, OH 45750-1635
Phone (740) 568-5427

Other identifiers 3

IdentifierTypeStateIssuer
3810005650MedicaidWV
2667298MedicaidOH
001861465OtherWVMTN STATE BCBS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address anesthesia.providers@mmhs.medicity.net

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151210002609 OH Practitioner - Certified Registered Nurse Anesthetist (Crna) 3971500588 Reassigns benefits to 23 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PHS Anesthesia Billing, LLCGroup PAC ID 2264958412, 241 clinicians
Lima Memorial Professional CorporationGroup PAC ID 1254232184, 167 clinicians
Ohiohealth CorporationGroup PAC ID 6305758426, 2,295 clinicians
Blanchard Valley Regional Health CenterGroup PAC ID 3971404187, 88 clinicians
Mary Rutan HospitalGroup PAC ID 9032013792, 90 clinicians
Marietta Memorial HospitalGroup PAC ID 8224928965, 387 clinicians
Arlington Anesthesia Partners LLCGroup PAC ID 7618344698, 91 clinicians
Anesthesia Associates of Lima IncGroup PAC ID 4486553013, 53 clinicians

Practice addresses (Care Compare)

1 Wyoming St
Dayton, OH 45409-2722
Phone (937) 208-8000

1001 Bellefontaine Ave
Lima, OH 45804-2800
Phone (419) 998-4575

111 S Grant Ave 3Rd FL
Columbus, OH 43215-4701
Phone (614) 566-9184

1709 Medical Blvd
Findlay, OH 45840-1398
Phone (419) 429-0409

205 E Palmer Rd
Bellefontaine, OH 43311-2281
Phone (937) 592-4015

3130 N Co Rd
25A
Troy, OH 45373
Phone (937) 440-4000

401 Matthew St
Marietta, OH 45750-1635
Phone (740) 374-1400

600 N Pickaway St
Circleville, OH 43113-1447
Phone (614) 352-6479

730 W Market St
Lima, OH 45801-4602
Phone (419) 277-3361

Hospital & facility affiliations

  • Lima Memorial Health System Hospital, Lima, OH, CCN 360009
  • Mercy Health St Ritas Medical Center Hospital, Lima, OH, CCN 360066
  • Grant Medical Center Hospital, Columbus, OH, CCN 360017
  • Mary Rutan Hospital Hospital, Bellefontaine, OH, CCN 360197
  • Marietta Memorial Hospital Hospital, Marietta, OH, CCN 360147

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
East Columbus Surgery Center LLC CurrentSince Dec 1, 2018 Accepting new patients
Mask Anesthesia Consultants Inc CurrentSince Jun 1, 2019 Accepting new patients
Anesthesia Group Practice, Inc Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2022 Accepting new patients
Mercer County Joint Township Community Hospital CurrentSince Oct 25, 2019 Accepting new patients
Marion Area Physicians LLC CurrentSince Feb 1, 2025 Accepting new patients
Anesthesia Associates of Lima Inc Nurse Anesthetist, Certified Registered CurrentSince Jun 11, 2021 Accepting new patients
Anesthesia Associates of Cincinnati, Inc Nurse Anesthetist, Certified Registered CurrentSince Dec 11, 2021 Accepting new patients
Dayton Anesthesia & Pain Services, LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2021 Accepting new patients
Ohiohealth Corporation CurrentSince May 1, 2023 Accepting new patients
Lima Memorial Professional Corporation CurrentSince Jun 27, 2022 Accepting new patients
Ohio Anesthesia Group, Inc Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2025 Accepting new patients
Northstar Anesthesia of Ohio LLC CurrentSince Feb 22, 2017 Accepting new patients
Blanchard Valley Regional Health Center CurrentSince Aug 26, 2021 Accepting new patients
New Albany Orthopedic Anesthesia LLC CurrentSince Sep 1, 2022 Accepting new patients
East Columbus Surgery Center LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2018 Accepting new patients
Arlington Anesthesia Partners LLC CurrentSince Nov 1, 2022 Accepting new patients
Mary Rutan Hospital CurrentSince Apr 1, 2025 Accepting new patients
Promedica Central Physicians CurrentSince May 1, 2024 Accepting new patients
Lima Memorial Professional Corporation CurrentSince Jun 27, 2022 Accepting new patients
Columbus One Anesthesia LLC CurrentSince Mar 15, 2022 Accepting new patients
Diagnostic Pathology, LLC Current Accepting new patients
Promedica Central Physicians CurrentSince May 1, 2024 Accepting new patients
Blanchard Valley Regional Health Center Current Accepting new patients
PHS Anesthesia Billing, LLC CurrentSince Jul 1, 2025 Accepting new patients
Mercer County Joint Township Community Hospital CurrentSince Oct 25, 2019 Accepting new patients
Marietta Memorial Hospital CurrentSince Sep 11, 2024 Accepting new patients
Marietta Memorial Hospital CurrentSince Sep 11, 2024 Accepting new patients
Genesis Anesthesia Providers, LLC CurrentSince Jun 1, 2021 Accepting new patients
Blanchard Valley Regional Health Center Nurse Anesthetist, Certified Registered CurrentSince Aug 26, 2021 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Cardiac Anesthesia Plus, Inc. PastSince Jun 1, 2004 Accepting new patients
Mary Rutan Hospital Past Accepting new patients

Locations (25 of 40)

3535 Pentagon Blvd
Beavercreek, OH 45431
Phone (937) 702-4000

205 E Palmer Rd
Bellefontaine, OH 43311
Phone (937) 592-4015

139 Garau St
Bluffton, OH 45817
Phone (419) 358-9010

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

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

600 N Pickaway St
Circleville, OH 43113
Phone (614) 352-6479

800 W Main St
Coldwater, OH 45828
Phone (419) 678-2341

L3982
Columbus, OH 43260

111 S Grant Ave
Fl 3
Columbus, OH 43215
Phone (614) 566-9871

275 Taylor Station Rd
Columbus, OH 43213
Phone (614) 566-9983

3600 Stelzer Rd
Ste 100
Columbus, OH 43219
Phone (614) 255-2900

4845 Knightsbridge Blvd
Ste 110
Columbus, OH 43214
Phone (614) 273-0400

Dept L3652
Columbus, OH 43260

3705 Olentangy River Rd
Columbus, OH 43214
Phone (614) 533-6620

L3688
Columbus, OH 43260

393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108

50 McNaughten Rd
Ste 102
Columbus, OH 43213
Phone (614) 864-0641

111 S Grant Ave
Fl 2
Columbus, OH 43215
Phone (614) 566-9143

1 Wyoming St
Dayton, OH 45409
Phone (937) 208-2636

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

1709 Medical Blvd
Findlay, OH 45840
Phone (419) 429-0409

1900 S Main St
Findlay, OH 45840
Phone (419) 423-4500

1375 Stringtown Rd
Grove City, OH 43123
Phone (614) 566-9345

4600 Leap Ct
Ste 121
Hilliard, OH 43026
Phone (614) 385-5900

730 W Market St
Lima, OH 45801
Phone (419) 226-4310

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 37

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 37

Hospital & facility affiliations 6

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1215035811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 E PALMER RD",
            "city": "BELLEFONTAINE",
            "state": "OH",
            "postal_code": "433112281",
            "telephone_number": "937-592-4015",
            "fax_number": "937-292-7148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 E PALMER RD",
            "city": "BELLEFONTAINE",
            "state": "OH",
            "postal_code": "43311",
            "telephone_number": "937-592-4015",
            "fax_number": "937-292-7148"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 Matthew St",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "OH",
            "postal_code": "457501635",
            "country_code": "US",
            "telephone_number": "740-568-5427",
            "fax_number": "740-376-5073",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIVERS",
        "first_name": "JED",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WV",
            "license": "67562",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "APRN.CRNA.17745",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810005650",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2667298",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MTN STATE BCBS",
            "identifier": "001861465",
            "state": "WV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "anesthesia.providers@mmhs.medicity.net",
            "affiliation": "N",
            "address_1": "401 Matthew St",
            "city": "Marietta",
            "state": "OH",
            "country_code": "US",
            "postal_code": "457501635",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bellefontaine, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; 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.