Matthew James Janezic, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

8200 Issued in WI

Practice address

400 E 3Rd St
Duluth Clinic
Duluth, MN 55805-1951

Phone

(218) 783-8364

NPI assigned

Jan 7, 2013

Last updated

Jan 26, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MN, WI2 enrollments

Enrollment records 2

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

University of North Dakota School of Medicine, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Memorial Medical Center IncGroup PAC ID 8022000447, 80 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Tamarack Health Ashland Medical Center Hospital, Ashland, WI, CCN 521359

Merit-based Incentive Payment System (MIPS)

Final score

86.19 of 100Reported as group

Quality

74.89

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Memorial Medical Center Inc

  dba Tamarack Health Ashland Medical Center

  • Critical Access Hospital
  • Ashland, WI
  • NPI 1437179231
  Medicare reassignment Care Compare group NPD
• Grand Itasca Clinic and Hospital

  • General Acute Care Hospital
  • Grand Rapids, MN
  • NPI 1669426631
  Medicare reassignment NPD
• North Shore Anesthesia P.a

  • Anesthesiology Physician
  • Duluth, MN
  • NPI 1922051291

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Medical Services, Inc

  dba Tamarack Health Hayward Medical Center

  • Critical Access Hospital
  • Hayward, WI
  • NPI 1912992827
  Medicare reassignment
• Grand Itasca Clinic and Hospital

  dba Grand Itasca Pharmacy

  • Community/Retail Pharmacy
  • Grand Rapids, MN
  • NPI 1225441157
  NPD
• Memorial Medical Center Inc

  dba Tamarack Health Ashland Clinic

  • Rural Health Clinic/Center
  • Ashland, WI
  • NPI 1770255937
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Memorial Medical Center Inc

  dba Tamarack Health Ashland Medical Center

  • Critical Access Hospital
  • Ashland, WI
  • NPI 1437179231
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1357516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674691200000",
    "number": "1386981777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 MAPLE LN",
            "city": "ASHLAND",
            "state": "WI",
            "postal_code": "548063626",
            "telephone_number": "715-685-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E 3RD ST",
            "address_2": "DULUTH CLINIC",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558051951",
            "telephone_number": "218-783-8364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANEZIC",
        "first_name": "MATTHEW",
        "middle_name": "JAMES",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-01-07",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WI",
            "license": "8200",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "8200",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1386981777",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1386981777",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1386981777",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carolyn Ann Jahr, PA-C
• Denise Elizabeth James, RN
• Pamela James
• Sarah Gale Sweeney James
• Tenzin Jampa
• Rachel Janezic, CRNA
• Sarosh Ashraf Janjua, M.D.
• Janzen Chiropractic PA
• Melissa J. Janzen, DC
• James T Jarosz, DDS

• Certified Registered Nurse Anesthetist in Duluth, MN
• Providers in Duluth, MN by specialty
• Certified Registered Nurse Anesthetist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2023; 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.