Individual provider Active NPI

Jesse Ramone Medina, CRNA

  • Certified Registered Nurse Anesthetist
  • Marshfield, WI
National Provider Identifier
1356869325
Registry record updated Jan 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
9050-33 Issued in WI
Practice address
1000 N Oak Ave
Marshfield, WI 54449-5703
Phone
(715) 387-5511
Fax
(715) 387-5240
NPI assigned
Aug 30, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 9050-33 WI Primary
Certified Registered Nurse Anesthetist 367500000X 0024182743 VA
Certified Registered Nurse Anesthetist 367500000X 770560 TX
Certified Registered Nurse Anesthetist 367500000X 4012936 KY
Certified Registered Nurse Anesthetist 367500000X 32989 TN

Addresses

Primary practice location

1000 N Oak Ave
Marshfield, WI 54449-5703

Mailing address

1508 N Shawano Dr
Marshfield, WI 54449-1350
Phone (956) 579-5081

Other practice location 1

900 Illinois Ave
Stevens Point, WI 54481-3114
Phone (715) 346-5690

Other practice location 2

200 Abraham Flexner Way
Louisville, KY 40202-2877
Phone (502) 587-4404

Other identifiers 2

IdentifierTypeStateIssuer
300086098MedicaidIN
7100952770MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, IL, VA, TN, KY5 enrollments

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20170927002353 WI Practitioner - Certified Registered Nurse Anesthetist (Crna) 7911271119 Reassigns benefits to 3 organizations
I20210726000018 IL Practitioner - Certified Registered Nurse Anesthetist (Crna) 7911271119 Reassigns benefits to 3 organizations
I20220311000456 VA Practitioner - Certified Registered Nurse Anesthetist (Crna) 7911271119 Reassigns benefits to 2 organizations
I20230220000193 TN Practitioner - Certified Registered Nurse Anesthetist (Crna) 7911271119 Reassigns benefits to 1 organization
I20240124004342 KY Practitioner - Certified Registered Nurse Anesthetist (Crna) 7911271119 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Health Anesthesia Services, LLCGroup PAC ID 3678002565, 124 clinicians
Aspirus Stevens Point Hospital and Clinics, Inc.Group PAC ID 1850358938, 136 clinicians

Practice addresses (Care Compare)

1840 Amherst St
Winchester, VA 22601-2808
Phone (540) 536-8000

900 Illinois Ave
Stevens Point, WI 54481-3114
Phone (715) 346-5000

Hospital & facility affiliations

  • Aspirus Stevens Point Hospital & Clinics, Inc. Hospital, Stevens Point, WI, CCN 520002
  • Winchester Medical Center Hospital, Winchester, VA, CCN 490005

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
770560TXMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
University of Louisville Physicians, Inc. Current Accepting new patients
Valley Health Anesthesia Services, LLC CurrentSince Jan 19, 2026 Accepting new patients
Hoopeston Community Memorial Hospital CurrentSince Apr 14, 2021 Accepting new patients
Aspirus Stevens Point Hospital & Clinics, Inc. CurrentSince Feb 1, 2022 Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Jan 1, 2024 Accepting new patients
American Anesthesiology of Virginia PC CurrentSince Dec 1, 2021 Accepting new patients
Marshfield Clinic Inc CurrentSince Sep 25, 2017 Accepting new patients
Carle Health Care Incorporated CurrentSince Apr 14, 2021 Accepting new patients
Hoopeston Community Memorial Hospital Current Accepting new patients
Aspirus Stevens Point Hospital & Clinics, Inc. CurrentSince Feb 1, 2022 Accepting new patients
American Anesthesiology of Tennessee, P.C. Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2023 Accepting new patients
American Anesthesiology of Tennessee, P.C. CurrentSince Feb 1, 2023 Accepting new patients
Hoopeston Community Memorial Hospital Current Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Jan 1, 2024 Accepting new patients
American Anesthesiology of Virginia, PC CurrentSince Dec 1, 2021 Accepting new patients
MCHS Hospitals Inc CurrentSince Mar 1, 2018 Accepting new patients
MCHS Hospitals Inc CurrentSince Mar 1, 2018 Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

7752 Solution Ctr
Chicago, IL 60677

701 E Orange St
Hoopeston, IL 60942
Phone (217) 283-5531

611 W Park St
Urbana, IL 61801
Phone (217) 383-6941

200 Abraham Flexner Way
Louisville, KY 40202
Phone (502) 569-7983

571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700

1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796

9300 Park West Blvd
Knoxville, TN 37923
Phone (865) 427-4040

19455 Deerfield Ave
Ste 204
Leesburg, VA 20176
Phone (703) 724-9950

1840 Amherst St
Winchester, VA 22601
Phone (540) 536-8700

174 Botanical Blvd
Winchester, VA 22603
Phone (540) 536-5900

1000 Starr Ave
Eau Claire, WI 54703
Phone (715) 858-4850

3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200

1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111

900 Illinois Ave
Stevens Point, WI 54481
Phone (715) 342-7500

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 4

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": "1504051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768262400000",
    "number": "1356869325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1508 N SHAWANO DR",
            "city": "MARSHFIELD",
            "state": "WI",
            "postal_code": "544491350",
            "telephone_number": "956-579-5081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 N OAK AVE",
            "city": "MARSHFIELD",
            "state": "WI",
            "postal_code": "544495703",
            "telephone_number": "715-387-5511",
            "fax_number": "715-387-5240"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 Illinois Ave",
            "address_purpose": "LOCATION",
            "city": "Stevens Point",
            "state": "WI",
            "postal_code": "544813114",
            "country_code": "US",
            "telephone_number": "715-346-5690",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Abraham Flexner Way",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402022877",
            "country_code": "US",
            "telephone_number": "502-587-4404",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEDINA",
        "first_name": "JESSE",
        "middle_name": "RAMONE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-30",
        "last_updated": "2026-01-13",
        "certification_date": "2026-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WI",
            "license": "9050-33",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "VA",
            "license": "0024182743",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "770560",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KY",
            "license": "4012936",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "32989",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300086098",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100952770",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marshfield, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2026; 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.