NPIMap

Individual provider Active NPI

John Jarocki, CRNA

  • Certified Registered Nurse Anesthetist
  • Ironwood, MI
National Provider Identifier
1972525368
Registry record updated Dec 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
4704237907 Issued in MI
Practice address
N10561 Grandview LN
Ironwood, MI 49938-9622
Phone
(906) 932-2525
NPI assigned
Jul 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 4704237907 MI Primary
Registered Nurse 163W00000X 4704237907 MI

Addresses

Primary practice location

N10561 Grandview LN
Ironwood, MI 49938-9622

Mailing address

N10561 Grandview LN
Ironwood, MI 49938-9622
Phone (906) 932-2525

Other identifiers 3

IdentifierTypeStateIssuer
385385143001OtherWIWI BLUE CROSS PIN
44319900MedicaidWI
4510441MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, WI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100701000008 MI Practitioner - Certified Registered Nurse Anesthetist (Crna) 7315078623 Reassigns benefits to 1 organization
I20110526000790 WI Practitioner - Certified Registered Nurse Anesthetist (Crna) 7315078623 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memorial Medical Center Inc 80 clinicians
Aspirus Rhinelander and Tomahawk Hospitals and Clinics, Inc. 566 clinicians
Howard Young Medical Center Inc of Woodruff Wisconsin 55 clinicians

Practice addresses (Care Compare)

1615 Maple LN
Ashland, WI 54806-3626
Phone (715) 682-5500

2251 N Shore Dr
Suite 100
Rhinelander, WI 54501-6710
Phone (715) 361-2000

240 Maple St
Woodruff, WI 54568-9190
Phone (715) 356-8000

Hospital & facility affiliations

  • Tamarack Health Ashland Medical Center Hospital, Ashland, WI, CCN 521359
  • Aspirus Rhinelander Hospital Hospital, Rhinelander, WI, CCN 520019

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Aspirus Medford Hospital & Clinics, Inc. CurrentSince Oct 20, 2021 Accepting new patients
Acquisition Bell Hospital LLC CurrentSince Nov 3, 2014 Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince Dec 1, 2021 Accepting new patients
Aspirus Medford Hospital & Clinics, Inc. Current Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince Dec 1, 2021 Accepting new patients
Aspirus Eagle River Hospital & Clinics, Inc. Current Accepting new patients
The Howard Young Medical Center, Inc. Nurse Anesthetist, Certified Registered CurrentSince Jul 24, 2015 Accepting new patients
Aspirus Eagle River Hospital, Inc. CurrentSince Oct 20, 2021 Accepting new patients
Acquisition Bell Hospital LLC CurrentSince Nov 3, 2014 Accepting new patients
Aspirus Stevens Point Hospital & Clinics, Inc. CurrentSince Oct 20, 2021 Accepting new patients
Aspirus Stevens Point Hospital & Clinics, Inc. CurrentSince Oct 20, 2021 Accepting new patients
Aspirus Medford Hospital & Clinics, Inc. CurrentSince Oct 20, 2021 Accepting new patients
Rocky Mountain Anesthesiology, PC Past Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

901 Lakeshore Dr
Ishpeming, MI 49849
Phone (906) 485-2653

201 Hospital Rd
Eagle River, WI 54521
Phone (715) 477-3000

135 S Gibson St
Medford, WI 54451
Phone (715) 748-8100

601 S Center Ave
Merrill, WI 54452
Phone (715) 536-5511

2251 N Shore Dr
Ste 100
Rhinelander, WI 54501
Phone (715) 361-2074

1120 Pine St
Stanley, WI 54768
Phone (715) 644-5530

209 Prentice St N
Stevens Point, WI 54481
Phone (715) 344-4611

900 Illinois Ave
Stevens Point, WI 54481
Phone (715) 342-7500

190 Grand Seasons Dr
Waupaca, WI 54981
Phone (715) 258-3401

240 Maple St
Woodruff, WI 54568
Phone (715) 356-8000

Organizations & group practices 34

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.

View all 34

Hospital & facility affiliations 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1293667200000",
    "number": "1972525368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N10561 GRANDVIEW LN",
            "city": "IRONWOOD",
            "state": "MI",
            "postal_code": "499389622",
            "telephone_number": "906-932-2525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N10561 GRANDVIEW LN",
            "city": "IRONWOOD",
            "state": "MI",
            "postal_code": "499389622",
            "telephone_number": "906-932-2525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAROCKI",
        "first_name": "JOHN",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2010-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MI",
            "license": "4704237907",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704237907",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WI BLUE CROSS PIN",
            "identifier": "385385143001",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "44319900",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4510441",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ironwood, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2010; 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.