Individual provider Active NPI

Jacqueline M Junglas, CRNA

  • Certified Registered Nurse Anesthetist
  • Willoughby, OH
National Provider Identifier
1407104227
Registry record updated Feb 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
APRN.CRNA.13947 Issued in OH
Practice address
36000 Euclid Ave
Willoughby, OH 44094-4625
Phone
(440) 350-0832
Fax
(440) 579-0191
NPI assigned
Aug 28, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X APRN.CRNA.13947 OH Primary

Addresses

Primary practice location

36000 Euclid Ave
Willoughby, OH 44094-4625

Mailing address

PO Box 381468
Germantown, TN 38183-1468

Other practice location 1

9614 Old Johnnycake Ridge Rd
Concord Township, OH 44060-6521
Phone (440) 205-1225

Other identifiers 1

IdentifierTypeStateIssuer
0074576MedicaidOH

Other names 1

  • Jacqueline M Sitko Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121110000043 OH Practitioner - Certified Registered Nurse Anesthetist (Crna) 4183875610 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ohio Anesthesia Group, IncGroup PAC ID 9537222138, 130 clinicians
Dayton Gastroenterology, LLCGroup PAC ID 9537064407, 74 clinicians

Practice addresses (Care Compare)

36000 Euclid Ave
Willoughby, OH 44094-4625
Phone (440) 350-0832

75 Sylvania Dr
Dayton, OH 45440-3237
Phone (937) 320-5050

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
78.79 of 100Reported as group
Quality
71.01
Improvement activities
40
Cost
82.45

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ohio Anesthesia Group, Inc Nurse Anesthetist, Certified Registered CurrentSince Apr 17, 2020 Accepting new patients
Dayton Gastroenterology LLC CurrentSince Jan 23, 2024 Accepting new patients

Locations

Dayton Gastro Govt Ar Hc
New York, NY 10087

1299 Industrial Pkwy N
Ste 120
Brunswick, OH 44212
Phone (330) 225-6468

1299 Industrial Pkwy N
Brunswick, OH 44212
Phone (330) 225-6468

1320 Timken Mercy Dr NW
Canton, OH 44708
Phone (330) 489-1000

4360 Fulton Dr NW
Ste B
Canton, OH 44718
Phone (330) 305-2020

9614 Old Johnnycake Ridge Rd
Concord Township, OH 44060
Phone (440) 205-1225

7757 Auburn Rd
Ste 15
Concord Township, OH 44077
Phone (440) 709-9150

7590 Auburn Rd
Concord Township, OH 44077
Phone (440) 354-1899

75 Sylvania Dr
Dayton, OH 45440
Phone (937) 320-5050

9000 N Main St
Ste 405
Englewood, OH 45415
Phone (937) 320-5050

8877 Mentor Ave
Mentor, OH 44060
Phone (440) 205-1225

9485 Mentor Ave
Mentor on Lk, OH 44060
Phone (440) 205-5755

2165 Mentor Ave
Ste 1
Painesville, OH 44077

36000 Euclid Ave
Willoughby Hills, OH 44094
Phone (440) 375-8166

Interoperability endpoints

  • FHIR API: https://5e3884cf-4770-450d-af77-2043acaa1ebe.gastro.prod.fhir.ema-api.com/fhir/r4/

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.

NPI Registry JSON

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

{
    "created_epoch": "1346112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771200000000",
    "number": "1407104227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 381468",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381831468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36000 EUCLID AVE",
            "city": "WILLOUGHBY",
            "state": "OH",
            "postal_code": "440944625",
            "telephone_number": "440-350-0832",
            "fax_number": "440-579-0191"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9614 Old Johnnycake Ridge Rd",
            "address_purpose": "LOCATION",
            "city": "Concord Township",
            "state": "OH",
            "postal_code": "440606521",
            "country_code": "US",
            "telephone_number": "440-205-1225",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JUNGLAS",
        "first_name": "JACQUELINE",
        "middle_name": "M",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-28",
        "last_updated": "2026-02-16",
        "certification_date": "2026-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "APRN.CRNA.13947",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0074576",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACQUELINE",
            "last_name": "SITKO",
            "middle_name": "M",
            "credential": "CRNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Willoughby, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.