Individual provider Active NPI

Jonathan Pacheco, DNP, CRNA

  • Certified Registered Nurse Anesthetist
  • Shaker Heights, OH
National Provider Identifier
1285463463
Registry record updated May 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
APRN.CRNA.0021299 Issued in OH
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

Updated by the provider on May 22, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, CO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250717003748 OH Practitioner - Certified Registered Nurse Anesthetist (Crna) 9537675566 Reassigns benefits to 1 organization
I20250724003642 CO Practitioner - Certified Registered Nurse Anesthetist (Crna) 9537675566 Reassigns benefits to 2 organizations

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
US Anesthesia Partners of Colorado IncGroup PAC ID 6002072055, 472 clinicians
Dayton Anesthesia and Pain Services LLCGroup PAC ID 8022245372, 217 clinicians

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 Hospital, Pueblo, CO, CCN 060012

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
505512OHMDGeneral Practice Registered Nurse
APRN.CRNA.0021299OHMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
US Anesthesia Partners of Colorado Inc. Nurse Anesthetist, Certified Registered CurrentSince Sep 24, 2025 Accepting new patients
Peak Gastroenterology Associates CurrentSince Aug 1, 2025 Accepting new patients
Dayton Anesthesia & Pain Services, LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 7, 2025 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.

Hospital & facility affiliations 3

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": "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.

Verify at the official NPI Registry.