Active NPI
Shernet Jacqueline Martin, CRNA
- Certified Registered Nurse Anesthetist
- Syracuse, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 083633
- Practice address
- 750 E Adams St RM 4143
Syracuse, NY 13210-2306 - Phone
- (315) 464-4720
- Fax
- (315) 464-4905
- NPI assigned
- Mar 1, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 083633 | NC | Primary |
| Certified Registered Nurse Anesthetist | 367500000X | 534436 | NY |
Addresses
Primary practice location
750 E Adams St RM 4143
Syracuse, NY 13210-2306
Mailing address
5784 Widewaters Pkwy Ste 2
Syracuse, NY 13214-1890
Phone (315) 469-1130
Other practice location 1
3000 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-8000
Other practice location 2
736 Irving Ave
Syracuse, NY 13210-1602
Phone (315) 470-7111
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NC
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- University of Pittsburgh School of Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
196 N St
Geneva, NY 14456-1651
Phone (315) 787-5355
736 Irving Ave
Syracuse, NY 13210-1602
Phone (315) 470-7111
750 E Adams St
Syracuse, NY 13210-2306
Phone (315) 464-4720
Hospital & facility affiliations
- Crouse Hospital
- University Hospital S U N Y Health Science Center
- Geneva General Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.42 of 100
- Quality
- 97.55
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 82.01
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 083633 | NC | MD | Certified Registered Nurse Anesthetist |
| 534436 | NY | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North American Partners in Anesthesia LLP | Current | Accepting new patients | |
| Upstate Medical Anesthesiology Group, Inc. | Current | Accepting new patients | |
| Geneva General Hospital, Inc | Current | Accepting new patients | |
| Geneva General Hospital Inc | Current | Accepting new patients | |
| American Anesthesiology of North Carolina, PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| U of R Anesthesiology Group | Current | Accepting new patients |
Locations
1500 Concord Ter
Fl 3
Sunrise, FL 33323
3000 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-7000
3100 Spring Forest Rd
Ste 130
Raleigh, NC 27616
Phone (919) 882-0705
4420 Lake Boone Trl
Raleigh, NC 27607
Phone (919) 784-3034
7 Southwoods Blvd
Ste 4
Albany, NY 12211
3122 Union St
Ste 1B
Flushing, NY 11354
Phone (718) 968-7171
196 North St
Geneva, NY 14456
Phone (315) 787-4156
1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796
1510 Jericho Tpke
New Hyde Park, NY 11040
Phone (516) 216-5341
601 Elmwood Ave
#604
Rochester, NY 14642
Phone (585) 275-2141
5784 Widewaters Pkwy
Ste 2
Syracuse, NY 13214
Phone (315) 469-1134
750 E Adams St
Rm 4143
Syracuse, NY 13210
Phone (315) 464-4720
736 Irving Ave
Syracuse, NY 13210
Phone (315) 470-7111
750 E Adams St
Syracuse, NY 13210
Phone (315) 464-4363
Organizations & group practices 7
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
- Melville, NY
- NPI 1649264706
-
- General Acute Care Hospital
- Syracuse, NY
- NPI 1851485759
-
- Emergency Medicine Physician
- Geneva, NY
- NPI 1487797080
-
- Certified Registered Nurse Anesthetist
- Burlington, NC
- NPI 1053677195
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Geneva, NY
- NPI 1578748364
-
- Family Medicine Physician
- Clyde, NY
- NPI 1255087003
-
- Anesthesiology Physician
- Rochester, NY
- NPI 1609806488
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Syracuse, NY
- NPI 1033107743
-
- General Acute Care Hospital
- Geneva, NY
- NPI 1952418352
-
- General Acute Care Hospital
- Syracuse, NY
- NPI 1578554630
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1267401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757894400000",
"number": "1982927216",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5784 WIDEWATERS PKWY STE 2",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132141890",
"telephone_number": "315-469-1130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 E ADAMS ST RM 4143",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132102306",
"telephone_number": "315-464-4720",
"fax_number": "315-464-4905"
}
],
"practiceLocations": [
{
"address_1": "3000 New Bern Ave",
"address_purpose": "LOCATION",
"city": "Raleigh",
"state": "NC",
"postal_code": "27610",
"country_code": "US",
"telephone_number": "919-350-8000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "736 Irving Ave",
"address_purpose": "LOCATION",
"city": "Syracuse",
"state": "NY",
"postal_code": "132101602",
"country_code": "US",
"telephone_number": "315-470-7111",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARTIN",
"first_name": "SHERNET",
"middle_name": "JACQUELINE",
"name_prefix": "Ms.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-03-01",
"last_updated": "2025-09-15",
"certification_date": "2025-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NC",
"license": "083633",
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NY",
"license": "534436",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.