Individual provider Active NPI

Joe Richard Prater, CRNA

  • Certified Registered Nurse Anesthetist
  • Mt. Gilead, OH
National Provider Identifier
1780726950
Registry record updated Oct 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN238732 Issued in OH
Practice address
651 West Marion Road
Mt. Gilead, OH 43338
Phone
(419) 949-3098
NPI assigned
Feb 13, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2012

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 RN238732 OH Primary

Addresses

Primary practice location

651 West Marion Road
Mt. Gilead, OH 43338

Mailing address

PO Box 1807
Marion, OH 43301-1807
Phone (740) 383-7000

Other identifiers 1

IdentifierTypeStateIssuer
2145477MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050607000019 OH Practitioner - Certified Registered Nurse Anesthetist (Crna) 2163465501 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
85.5 of 100Reported as apm
Quality
71.52
Promoting interoperability
95.57
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN238732OHMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Blanchard Valley Regional Health Center CurrentSince Jan 1, 2005 Accepting new patients
Blanchard Valley Regional Health Center Current Accepting new patients
Marion Area Physicians LLC CurrentSince Aug 20, 2018 Accepting new patients
Blanchard Valley Regional Health Center Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2005 Accepting new patients
Blanchard Valley Regional Health Center Nurse Anesthetist, Certified Registered Current Accepting new patients

Locations

139 Garau St
Bluffton, OH 45817
Phone (419) 358-9010

Dept L3652
Columbus, OH 43260

1900 S Main St
Findlay, OH 45840
Phone (419) 423-4500

921 E Franklin St
Kenton, OH 43326
Phone (419) 673-0761

1050 Delaware Ave
Marion, OH 43302
Phone (740) 383-7038

1040 Delaware Ave
Marion, OH 43302
Phone (330) 256-9874

1167 Independence Ave
Ste 100
Marion, OH 43302
Phone (740) 387-7200

651 W Marion Rd
Mount Gilead, OH 43338
Phone (419) 946-5015

45 St Lawrence Dr
Tiffin, OH 44883
Phone (419) 448-1900

Organizations & group practices 5

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": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350864000000",
    "number": "1780726950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1807",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433011807",
            "telephone_number": "740-383-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 WEST MARION ROAD",
            "city": "MT. GILEAD",
            "state": "OH",
            "postal_code": "43338",
            "telephone_number": "419-949-3098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRATER",
        "first_name": "JOE",
        "middle_name": "RICHARD",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-13",
        "last_updated": "2012-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "RN238732",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2145477",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt. Gilead, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2012; 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.