Active NPI
Jerod Scott Northcott
- Certified Registered Nurse Anesthetist
- Meadville, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN688879
- Practice address
- 1034 Grove St
Meadville, PA 16335-2945 - Phone
- (814) 333-5728
- Fax
- (814) 333-5726
- NPI assigned
- Oct 15, 2019
- Sex
- Male
- 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 | RN688879 | PA | Primary |
Addresses
Primary practice location
1034 Grove St
Meadville, PA 16335-2945
Mailing address
1034 Grove St
Meadville, PA 16335-2945
Phone (814) 333-5728
Other practice location 1
751 Liberty St
Meadville, PA 16335-2559
Phone (814) 333-5728
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1034 Grove St
Meadville, PA 16335-2945
Phone (814) 333-5728
Hospital & facility affiliations
- Meadville Medical Center
- Titusville Area Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN688879 | PA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Consultants of Meadville PC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
751 Liberty St
Meadville, PA 16335
Phone (814) 333-5081
1034 Grove St
Meadville, PA 16335
Phone (814) 333-5728
Organizations & group practices 1
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
- Meadville, PA
- NPI 1508843004
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Meadville, PA
- NPI 1942276423
-
- Critical Access Hospital
- Titusville, PA
- NPI 1891899332
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571097600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571184000000",
"number": "1982246567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1034 GROVE ST",
"city": "MEADVILLE",
"state": "PA",
"postal_code": "163352945",
"telephone_number": "814-333-5728",
"fax_number": "814-333-5726"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1034 GROVE ST",
"city": "MEADVILLE",
"state": "PA",
"postal_code": "163352945",
"telephone_number": "814-333-5728",
"fax_number": "814-333-5726"
}
],
"practiceLocations": [
{
"address_1": "751 Liberty St",
"address_purpose": "LOCATION",
"city": "Meadville",
"state": "PA",
"postal_code": "163352559",
"country_code": "US",
"telephone_number": "814-333-5728",
"fax_number": "814-333-5726",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NORTHCOTT",
"first_name": "JEROD",
"middle_name": "SCOTT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-10-15",
"last_updated": "2019-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "PA",
"license": "RN688879",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Meadville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2019; 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.