Individual provider Active NPI

John M Craker, CRNA

  • Certified Registered Nurse Anesthetist
  • Circleville, OH
National Provider Identifier
1215909510
Registry record updated Nov 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
NA-048980 Issued in OH
Practice address
600 N Pickaway St
Circleville, OH 43113-2409
Phone
(614) 552-0061
Fax
(614) 552-0168
NPI assigned
Feb 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2013

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 NA-048980 OH Primary

Addresses

Primary practice location

600 N Pickaway St
Circleville, OH 43113-2409

Mailing address

12941 Stonecreek Dr
Unit a
Pickerington, OH 43147-8424
Phone (614) 552-0061

Other identifiers 8

IdentifierTypeStateIssuer
000000221301OtherOHUNISON
0583328OtherOHBCMH
000000521137OtherOHANTHEM
734659OtherOHBUCKEYE MEDICAID
7800759OtherOHAETNA
P00908723OtherOHMEDICARE RAILROAD
2219094MedicaidOH
414957OtherOHWELLCARE MEDICAID

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040122000256 OH Practitioner - Certified Registered Nurse Anesthetist (Crna) 2466354386 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Safe Anesthesia Chardon LLCGroup PAC ID 0547456386, 20 clinicians
Safe Anesthesia Geneva LLCGroup PAC ID 4385771997, 34 clinicians

Practice addresses (Care Compare)

150 7TH Ave
Chardon, OH 44024-2908
Phone (440) 285-2900

870 W Main St
Geneva, OH 44041-1219
Phone (440) 466-1141

Hospital & facility affiliations

  • Uhhs Memorial Hospital of Geneva Hospital, Geneva, OH, CCN 361307
  • University Hospitals Portage Medical Center Hospital, Ravenna, OH, CCN 360078

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
NA-048980OHMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Safe Anesthesia Geneva LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 26, 2010 Accepting new patients
University Hospitals Medical Group Inc CurrentSince Jun 11, 2017 Accepting new patients
University Primary Care Practices Inc CurrentSince Dec 4, 2012 Accepting new patients
University Primary Care Practices Inc CurrentSince Dec 4, 2012 Accepting new patients
University Primary Care Practices Inc Current Accepting new patients
Safe Anesthesia Chardon LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2010 Accepting new patients
University Hospitals Cleveland Medical Center Past Accepting new patients
Pickaway Professional Services Inc Past Accepting new patients
Rural Anesthesia Management, LLC Past Accepting new patients

Locations

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

11100 Euclid Ave
Cleveland Heights, OH 44106

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

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

3605 Warrensville Center Rd
#R
Shaker Heights, OH 44122

950 Clague Rd
Westlake, OH 44145
Phone (440) 250-2020

Interoperability endpoints

  • Direct secure messaging: jcraker26176@ehrdirect.uhhospitals.org

Organizations & group practices 9

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 2

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": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384992000000",
    "number": "1215909510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12941 STONECREEK DR",
            "address_2": "UNIT A",
            "city": "PICKERINGTON",
            "state": "OH",
            "postal_code": "431478424",
            "telephone_number": "614-552-0061",
            "fax_number": "614-552-0168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N PICKAWAY ST",
            "city": "CIRCLEVILLE",
            "state": "OH",
            "postal_code": "431132409",
            "telephone_number": "614-552-0061",
            "fax_number": "614-552-0168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAKER",
        "first_name": "JOHN",
        "middle_name": "M",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-02",
        "last_updated": "2013-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "NA-048980",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON",
            "identifier": "000000221301",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCMH",
            "identifier": "0583328",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000521137",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUCKEYE MEDICAID",
            "identifier": "734659",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7800759",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00908723",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2219094",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE MEDICAID",
            "identifier": "414957",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Circleville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2013; 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.