Jeromy Ryan Scofield, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

116018 Issued in OK

Practice address

1900 N 14TH St
Ponca City, OK 74601-2035

Phone

(316) 519-3770

NPI assigned

Oct 7, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS, MO, HI3 enrollments

Enrollment records 3

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northstar Anesthesia of Missouri LLCGroup PAC ID 4082908249, 88 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mercy Hospital Joplin Hospital, Joplin, MO, CCN 260001

Merit-based Incentive Payment System (MIPS)

Final score

40.05 of 100Reported as group

Quality

47.12

Improvement activities

0

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

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 and National Provider Directory roles.

• Northstar Anesthesia of Missouri, LLC

  • Anesthesiology Physician
  • Irving, TX
  • NPI 1396191789

  MO, Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Anesthesia Consulting Services, PA

  • Anesthesiology Physician
  • Wichita, KS
  • NPI 1518070416
  Medicare reassignment NPD
• Labette County Medical Center

  • Family Medicine Physician
  • Parsons, KS
  • NPI 1336133362
  Medicare reassignment NPD
• Pacific Anesthesia, Inc

  • Anesthesiology Physician
  • Honolulu, HI
  • NPI 1538472451
  Medicare reassignment NPD
• Hutchinson Regional Medical Center, Inc.

  • Certified Registered Nurse Anesthetist
  • Hutchinson, KS
  • NPI 1487131025

  Nurse Anesthetist, Certified Registered

  NPD
• Hutchinson Regional Medical Center, Inc.

  • Pulmonary Disease Physician
  • Hutchinson, KS
  • NPI 1659931525
  NPD
• Hutchinson Regional Medical Center, Inc.

  • Hospitalist Physician
  • Hutchinson, KS
  • NPI 1972605285
  NPD
• Labette County Medical Center

  • Rural Health Clinic/Center
  • Pittsburg, KS
  • NPI 1205524113
  NPD
• Labette County Medical Center

  • Anesthesiology Physician
  • Parsons, KS
  • NPI 1811981293
  NPD
• Kansas Endoscopy LLC

  • Ambulatory Surgical Clinic/Center
  • Wichita, KS
  • NPI 1538153887
  NPD (past)

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

• Mercy Hospital Joplin

  • General Acute Care Hospital
  • Joplin, MO
  • NPI 1700112745
  Care Compare affiliation

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

{
    "created_epoch": "1475798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475798400000",
    "number": "1700336393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6539 S OLIVER ST",
            "city": "DERBY",
            "state": "KS",
            "postal_code": "670379071",
            "telephone_number": "316-519-3770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 N 14TH ST",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746012035",
            "telephone_number": "316-519-3770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOFIELD",
        "first_name": "JEROMY",
        "middle_name": "RYAN",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-10-07",
        "last_updated": "2016-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OK",
            "license": "116018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Jo Schiltz
• Austin Kristopher Schnell, LMSW; MSW U/S
• Emily Schovanec
• Lahoma Ann Schultz, PH.D.LPC, CRC
• Shelby Mary-Maxine Schutte
• Misti Lee Scott
• Morgan Scott
• Tiara Scott
• Edward J Scovill, M.D.
• Lisa Ann Seabridge, LCSW

• Certified Registered Nurse Anesthetist in Ponca City, OK
• Providers in Ponca City, OK by specialty
• Certified Registered Nurse Anesthetist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2016; 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.