Active NPI
Jonathan Pacheco, DNP, CRNA
- Certified Registered Nurse Anesthetist
- Shaker Heights, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- APRN.CRNA.0021299
- Practice address
- 3725 Sutherland Rd
Shaker Heights, OH 44122-5136 - Phone
- (719) 242-5216
- NPI assigned
- Jul 29, 2024
- 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 |
|---|---|---|---|---|
| General Practice Registered Nurse | 163WG0000X | 505512 | OH | |
| Certified Registered Nurse Anesthetist | 367500000X | APRN.CRNA.0021299 | OH | Primary |
Addresses
Primary practice location
3725 Sutherland Rd
Shaker Heights, OH 44122-5136
Mailing address
3725 Sutherland Rd
Shaker Heights, OH 44122-5136
Phone (719) 242-5216
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, CO
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1008 Minnequa Ave
Pueblo, CO 81004-3733
Phone (719) 557-4000
405 W Grand Ave
Dayton, OH 45405-7538
Phone (937) 226-3200
525 E Market St
Akron, OH 44304-1619
Phone (330) 375-3000
Hospital & facility affiliations
- St Mary-Corwin Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 505512 | OH | MD | General Practice Registered Nurse |
| APRN.CRNA.0021299 | OH | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| US Anesthesia Partners of Colorado Inc. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Peak Gastroenterology Associates | Current | Accepting new patients | |
| Dayton Anesthesia & Pain Services, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
2920 N Cascade Ave
Ste 300
Colorado Springs, CO 80907
2920 N Cascade Ave
#P
Colorado Springs, CO 80907
8000 E Maplewood Ave
Ste 120
Greenwood Village, CO 80111
10101 Ridgegate Pkwy
Lone Tree, CO 80124
Phone (720) 225-1000
1008 Minnequa Ave
Pueblo, CO 81004
Phone (719) 557-5656
525 E Market St
Akron, OH 44304
Phone (330) 375-6350
95 Arch St
Ste 250
Akron, OH 44304
Phone (330) 375-7722
405 W Grand Ave
Dayton, OH 45405
Phone (937) 226-3200
3780 Medina Rd
Medina, OH 44256
Phone (216) 406-4323
195 Wadsworth Rd
Wadsworth, OH 44281
Phone (330) 331-1000
265 Brookview Centre Way
Ste 203
Knoxville, TN 37919
Phone (865) 500-1254
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.
-
- Anesthesiology Physician
- Dayton, OH
- NPI 1629401898
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Greenwood Village, CO
- NPI 1922365782
Nurse Anesthetist, Certified Registered
-
- Gastroenterology Physician
- Colorado Springs, CO
- NPI 1023112117
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Pueblo, CO
- NPI 1306857974
-
- General Acute Care Hospital
- Pueblo, CO
- NPI 1841830452
-
- Nursing Facility/Intermediate Care Facility
- Pueblo, CO
- NPI 1942391487
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747872000000",
"number": "1285463463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3725 SUTHERLAND RD",
"city": "SHAKER HEIGHTS",
"state": "OH",
"postal_code": "441225136",
"telephone_number": "719-242-5216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3725 SUTHERLAND RD",
"city": "SHAKER HEIGHTS",
"state": "OH",
"postal_code": "441225136",
"telephone_number": "719-242-5216"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PACHECO",
"first_name": "JONATHAN",
"credential": "DNP, CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-07-29",
"last_updated": "2025-05-22",
"certification_date": "2025-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "163WG0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, General Practice",
"state": "OH",
"license": "505512",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OH",
"license": "APRN.CRNA.0021299",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shaker Heights, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.