Cierra Janiece Jethro

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

2025023180 Issued in MO

Practice address

1 Hairpin Drive
Edwardsville, IL 62026-0001

Phone

(618) 650-3956

NPI assigned

Aug 21, 2023

Last updated

Jun 17, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MO, IL2 enrollments

Enrollment records 2

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Southern Illinois University School of Medicine, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Midwest Anesthesia Providers SCGroup PAC ID 9830480581, 180 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Memorial Hospital Hospital, Belleville, IL, CCN 140185

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.

• Midwest Anesthesia Providers S.C

  • Anesthesiology Physician
  • Saint Louis, MO
  • NPI 1295189082

  IL, Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Midwest Anesthesia Associates, P.C.

  • Pain Medicine Physician
  • Saint Louis, MO
  • NPI 1558719617
  Medicare reassignment NPD
• Specialists in Anesthesia PC

  • Anesthesiology Physician
  • Saint Louis, MO
  • NPI 1689619280

  IL, Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD

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

• Protestant Memorial Medical Center, Inc.

  dba Memorial Hospital

  • General Acute Care Hospital
  • Belleville, IL
  • NPI 1982796181
  Care Compare affiliation

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

{
    "created_epoch": "1692576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750118400000",
    "number": "1972387157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HAIRPIN DRIVE",
            "city": "EDWARDSVILLE",
            "state": "IL",
            "postal_code": "620260001",
            "telephone_number": "618-650-3956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HAIRPIN DRIVE",
            "city": "EDWARDSVILLE",
            "state": "IL",
            "postal_code": "620260001",
            "telephone_number": "618-650-3956"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "55 Potomac Dr",
            "address_purpose": "LOCATION",
            "city": "Fairview Heights",
            "state": "IL",
            "postal_code": "622081815",
            "country_code": "US",
            "telephone_number": "618-444-6458",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JETHRO",
        "first_name": "CIERRA",
        "middle_name": "JANIECE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-21",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MO",
            "license": "2025023180",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jazmine Jacobb
• Alexander R James, PH.D.
• Alicia Triplett Janssen, OD
• Jeffrey S. Hammer, M.D., LLC
• Heather Sue Jenny, PT
• Jeremy Dean Jewell, PH.D.
• Jewelride LLC
• Shaun Padrick Johnson, PHARM.D.
• Cynthia Jones, DNP, RN
• Hannah M. Jordan, DO

• Certified Registered Nurse Anesthetist in Edwardsville, IL
• Providers in Edwardsville, IL by specialty
• Certified Registered Nurse Anesthetist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2025; 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.