Active NPI
Jacqueline Rushton, RN, DNP, CRNA
- Certified Registered Nurse Anesthetist
- Milwaukee, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 11980-33
- Practice address
- 2301 N Lake Dr
Milwaukee, WI 53211-4508 - Phone
- (541) 660-8141
- NPI assigned
- Aug 3, 2015
- Sex
- Female
- Sole proprietor
- No
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 | 11980-33 | WI | Primary |
| Certified Registered Nurse Anesthetist | 367500000X | 201604923CRNA-PP | OR |
Addresses
Primary practice location
2301 N Lake Dr
Milwaukee, WI 53211-4508
Mailing address
400 W River Woods Pkwy FL 3
Glendale, WI 53212-1060
Phone (541) 660-8141
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100205237 | Medicaid | WI |
Other names 1
- Jacqueline Marie Reynolds
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8901 W Lincoln Ave
West Allis, WI 53227-2409
Phone (414) 329-5930
Hospital & facility affiliations
- Aurora Lakeland Medical Center
- Aurora Memorial Hospital Burlington
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.02 of 100
- Quality
- 85.37
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aurora Medical Group, Inc. | Current | Accepting new patients | |
| Aurora Medical Group, Inc. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056
5000 W Chambers St
Milwaukee, WI 53210
Phone (414) 447-2089
8901 W Lincoln Ave
West Allis, WI 53227
Phone (414) 328-6000
Organizations & group practices 2
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.
-
- Certified Registered Nurse Anesthetist
- Milwaukee, WI
- NPI 1427271378
Nurse Anesthetist, Certified Registered
-
- Durable Medical Equipment & Medical Supplies
- Oshkosh, WI
- NPI 1326858044
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Burlington, WI
- NPI 1861557753
-
- General Acute Care Hospital
- Elkhorn, WI
- NPI 1972628006
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736726400000",
"number": "1275919193",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 W RIVER WOODS PKWY FL 3",
"city": "GLENDALE",
"state": "WI",
"postal_code": "532121060",
"telephone_number": "541-660-8141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2301 N LAKE DR",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532114508",
"telephone_number": "541-660-8141"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUSHTON",
"first_name": "JACQUELINE",
"credential": "RN, DNP, CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-03",
"last_updated": "2025-01-13",
"certification_date": "2025-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "WI",
"license": "11980-33",
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OR",
"license": "201604923CRNA-PP",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100205237",
"state": "WI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JACQUELINE",
"last_name": "REYNOLDS",
"middle_name": "MARIE",
"credential": "RN, DNP, CRNA",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2025; 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.