Individual provider Active NPI

Jonathan A Levin

  • Certified Registered Nurse Anesthetist
  • Wausau, WI
National Provider Identifier
1255878237
Registry record updated Jan 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
233392-30 Issued in WI
Practice address
425 Pine Ridge Blvd
Suite 211
Wausau, WI 54401-4123
Phone
(715) 845-5505
Fax
(715) 848-2884
NPI assigned
Jan 27, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2017

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 233392-30 WI Primary

Addresses

Primary practice location

425 Pine Ridge Blvd
Suite 211
Wausau, WI 54401-4123

Mailing address

5301 Lakeshore Dr
Wausau, WI 54401-7707
Phone (314) 283-9735

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, MO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170220002487 WI Practitioner - Certified Registered Nurse Anesthetist (Crna) 8123301009 Reassigns benefits to 1 organization
I20200527000711 MO Practitioner - Certified Registered Nurse Anesthetist (Crna) 8123301009 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Curators of the University of MissouriGroup PAC ID 4486759560, 1,108 clinicians
Global Anesthesia Specialist PAGroup PAC ID 5991691826, 18 clinicians

Practice addresses (Care Compare)

1125 Madison St
Jefferson City, MO 65101-5227
Phone (573) 635-7141

305 N Keene St
Suite 107
Columbia, MO 65201-6897
Phone (573) 256-6272

Hospital & facility affiliations

  • University of Missouri Health Care Hospital, Columbia, MO, CCN 260141

Merit-based Incentive Payment System (MIPS)

Final score
80.23 of 100Reported as group
Quality
58.17
Promoting interoperability
100
Improvement activities
40
Cost
75.92

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Orthomed Staffing LLC CurrentSince Aug 1, 2022 Accepting new patients
CPR Anesthesia, Inc Nurse Anesthetist, Certified Registered CurrentSince Aug 15, 2025 Accepting new patients
Global Anesthesia Specialist PA CurrentSince Jan 4, 2026 Accepting new patients
The Curators of the University of Missouri CurrentSince Jan 1, 2024 Accepting new patients
Mid-America Anesthesia Consultants, PC CurrentSince Oct 1, 2023 Accepting new patients
Central Wisconsin Anesthesiology CurrentSince Mar 1, 2017 Accepting new patients
Columbia Musculoskeletal Surgery CNTR LLC CurrentSince Jan 4, 2026 Accepting new patients
Curators of the University of Missouri CurrentSince Jan 1, 2024 Accepting new patients

Locations

17050 Baxter Rd
Ste 110
Chesterfield, MO 63005
Phone (636) 537-0122

1 Hospital Dr
Columbia, MO 65212
Phone (573) 882-2568

1600 E Broadway
Columbia, MO 65201
Phone (573) 632-5000

305 N Keene St
Ste 107
Columbia, MO 65201
Phone (573) 239-3310

1600 E Broadway
Ste 60
Columbia, MO 65201

400 Parkland Dr
Farmington, MO 63640
Phone (303) 755-3201

1125 Madison St
Jefferson Cty, MO 65101
Phone (573) 632-5000

211 NE 54th St
Ste 100
Kansas City, MO 64118
Phone (816) 455-4214

200 NE 54th St
Unit 200
Kansas City, MO 64118

2861 NE Independence Ave
Ste 101
Lees Summit, MO 64064
Phone (816) 579-1500

100 N Clayview Dr
Liberty, MO 64068
Phone (816) 781-9222

4150 N Mulberry Dr
Ste 100
North Kansas City, MO 64116
Phone (816) 214-4364

1050 Old des Peres Rd
Ste 150
Saint Louis, MO 63131
Phone (314) 396-9517

5139 Mattis Rd
Ste 100
Saint Louis, MO 63128
Phone (314) 207-8939

4594 S Lindbergh Blvd
Saint Louis, MO 63127
Phone (314) 842-2607

10435 Clayton Rd
Ste 110
Saint Louis, MO 63131
Phone (314) 576-1400

9701 Landmark Parkway Dr
Ste 100
Saint Louis, MO 63127
Phone (314) 396-9517

1040 Old des Peres Rd
Saint Louis, MO 63131
Phone (314) 729-9780

12639 Old Tesson Rd
Ste 130
Saint Louis, MO 63128
Phone (314) 729-0785

901 Kidwell Dr
Versailles, MO 65084
Phone (573) 378-4666

425 Pine Ridge Blvd
Ste 211
Wausau, WI 54401
Phone (715) 845-5505

Organizations & group practices 8

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": "1485475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485475200000",
    "number": "1255878237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5301 LAKESHORE DR",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544017707",
            "telephone_number": "314-283-9735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 PINE RIDGE BLVD",
            "address_2": "SUITE 211",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544014123",
            "telephone_number": "715-845-5505",
            "fax_number": "715-848-2884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVIN",
        "first_name": "JONATHAN",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-01-27",
        "last_updated": "2017-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WI",
            "license": "233392-30",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wausau, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2017; 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.