Active NPI
Jodie Vincent Hartzell, CRNA
- Certified Registered Nurse Anesthetist
- Steubenville, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- APRN.CRNA.08149
- Practice address
- 4000 Johnson Rd
Steubenville, OH 43952-2300 - Phone
- (740) 264-8000
- NPI assigned
- Feb 10, 2006
- Sex
- Male
- 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 | RN352146L | PA | |
| Certified Registered Nurse Anesthetist | 367500000X | APRN.CRNA.08149 | OH | Primary |
Addresses
Primary practice location
4000 Johnson Rd
Steubenville, OH 43952-2300
Mailing address
115 Woodland Park
Wintersville, OH 43953-3855
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101171560 | Medicaid | PA | |
| 2173964 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
601 Colliers Way
Weirton, WV 26062-5014
Phone (304) 797-6000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN.CRNA.08149 | OH | MD | Certified Registered Nurse Anesthetist |
| RN352146L | PA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Weirton Medical Center Inc | Current | Accepting new patients | |
| Weirton Medical Center Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Weirton Medical Center Inc | Current | Accepting new patients |
Locations
4000 Johnson Rd
Wintersville, OH 43952
Phone (740) 264-8011
601 Colliers Way
Weirton, WV 26062
Phone (304) 364-5156
109 Mount Wood Rd
Wheeling, WV 26003
Phone 3042332455146
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Weirton, WV
- NPI 1144423864
-
dba Weirton Medical Center Anesthesia Dept.
- Certified Registered Nurse Anesthetist
- Weirton, WV
- NPI 1083904403
Nurse Anesthetist, Certified Registered
-
- Home Health Agency
- Weirton, WV
- NPI 1922009505
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Weirton Medial Center
- General Acute Care Hospital
- Weirton, WV
- NPI 1619921947
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478044800000",
"number": "1265405054",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 WOODLAND PARK",
"city": "WINTERSVILLE",
"state": "OH",
"postal_code": "439533855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4000 JOHNSON RD",
"city": "STEUBENVILLE",
"state": "OH",
"postal_code": "439522300",
"telephone_number": "740-264-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARTZELL",
"first_name": "JODIE",
"middle_name": "VINCENT",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-10",
"last_updated": "2016-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "PA",
"license": "RN352146L",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OH",
"license": "APRN.CRNA.08149",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101171560",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2173964",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Steubenville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2016; 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.