Active NPI
Jordan Konieczny, CRNA
- Certified Registered Nurse Anesthetist
- Columbus, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- APRN.CRNA.0020862
- Practice address
- 700 Childrens Dr
Columbus, OH 43205-2639 - Phone
- (614) 722-4200
- Fax
- (614) 722-4203
- NPI assigned
- Jul 6, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | APRN.CRNA.0020862 | OH | Primary |
Addresses
Primary practice location
700 Childrens Dr
Columbus, OH 43205-2639
Mailing address
700 Childrens Dr
Columbus, OH 43205-2639
Phone (614) 722-4200
Other practice location 1
455 Executive Campus Dr
Westerville, OH 43082-8870
Phone (614) 722-4200
Other practice location 2
405 Butterfly Gardens
Columbus, OH 43215-3427
Phone (614) 722-4200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
700 Children'S Dr
Columbus, OH 43205-2664
Phone (614) 722-6158
7500 State Rd
Cincinnati, OH 45255-2439
Phone (513) 624-4500
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.36 of 100
- Quality
- 56.69
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.52
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN.CRNA.0020862 | OH | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children'S Anesthesia Associates Inc | Anesthesiology | Current | Accepting new patients |
| Southwest Ohio Anesthesia Consultants LLC | Anesthesiology | Current | Accepting new patients |
Locations
7500 State Rd
Cincinnati, OH 45255
Phone (513) 624-4034
405 Butterfly Gardens Dr
Columbus, OH 43215
Phone (614) 722-4200
700 Childrens Dr
Columbus, OH 43205
Phone (614) 722-4411
2600 Navarre Ave
Oregon, OH 43616
Phone (419) 696-7200
12623 Eckel Junction Rd
Perrysburg, OH 43551
Phone (567) 368-1434
3404 W Sylvania Ave
Toledo, OH 43623
Phone (419) 407-1422
2213 Cherry St
Toledo, OH 43608
Phone (419) 251-4283
455 Executive Campus Dr
Westerville, OH 43082
Phone (614) 355-6100
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.
-
- Anesthesiology Physician
- Columbus, OH
- NPI 1629020680
-
- Anesthesiology Physician
- Cincinnati, OH
- NPI 1588645188
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1688601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720656000000",
"number": "1891473344",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 CHILDRENS DR",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432052639",
"telephone_number": "614-722-4200",
"fax_number": "614-722-4203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 CHILDRENS DR",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432052639",
"telephone_number": "614-722-4200",
"fax_number": "614-722-4203"
}
],
"practiceLocations": [
{
"address_1": "455 Executive Campus Dr",
"address_purpose": "LOCATION",
"city": "Westerville",
"state": "OH",
"postal_code": "430828870",
"country_code": "US",
"telephone_number": "614-722-4200",
"fax_number": "614-722-4203",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "405 Butterfly Gardens",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "OH",
"postal_code": "432153427",
"country_code": "US",
"telephone_number": "614-722-4200",
"fax_number": "614-722-4203",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KONIECZNY",
"first_name": "JORDAN",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-07-06",
"last_updated": "2024-07-11",
"certification_date": "2024-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OH",
"license": "APRN.CRNA.0020862",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2024; 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.