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Deactivated NPI 1174968457 Deactivated / Inactive NPI Female Practitioner

Jennifer Botson , CRNA

Anesthesiologist Assistant • Middleburg Heights, OH

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Jennifer Botson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 01, 2013
NPI Deactivation Date June 26, 2018
Total Practice Duration ~5 Years of Practice (2013 – 2018)

Professional Overview & Biography Verified Profile Summary

Jennifer Botson, CRNA was a registered Anesthesiologist Assistant practicing in Middleburg Heights, OH. Throughout an active medical career spanning 5 years, Jennifer Botson provided care at the practice location at 18697 BAGLEY RD until profile deactivation on 2018-06-26.

Historical Medicare Part B clinical services included anesthesia for procedure on gastrointestinal tract using an endoscope, anesthesia for procedure on lower intestine using an endoscope, anesthesia for lens surgery. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

18697 Bagley Rd

Middleburg Heights, OH 441303417

Telephone 4408166246
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Anesthesiologist Assistant in Middleburg Heights, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.4 Yrs
State Avg: 11.2 Yrs
Regional Practice Density
15 Specialists

Practicing in Middleburg Heights, OH (454 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
91.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2017)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
00740 Anesthesia for procedure on gastrointestinal tract using an endoscope
62 60 $893.61 $79.04
00810 Anesthesia for procedure on lower intestine using an endoscope
38 38 $900.00 $79.48
00142 Anesthesia for lens surgery
33 31 $870.55 $76.80
01402 Anesthesia for procedure for total knee joint replacement
16 15 $1788.38 $163.61
64450 Injection of anesthetic agent, other peripheral nerve or branch
16 16 $704.00 $37.56
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle
16 16 $263.00 $31.85

Medical Specialties & State Licenses

Anesthesiologist Assistant Primary Specialty

NUCC Taxonomy Code: 367H00000X

An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

35 Associated Practitioners
Oleg Golota , CRNA

Nurse Anesthetist, Certified Registered

NPI 1083199947

Certified Registered Nurse Anesthetist

Andrea Novak , CRNA

Nurse Anesthetist, Certified Registered

NPI 1093791782

Certified Registered Nurse Anesthetist

Roy Haber , AA

Anesthesiologist Assistant

NPI 1104867993
Oksana Farro , AA

Anesthesiologist Assistant

NPI 1124381256
NPI 1154365179

Doctor of Osteopathic Medicine (D.O.)

Jillian Wessel , AA

Anesthesiologist Assistant

NPI 1205144193

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
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NPI Profile Deactivated June 26, 2018

Record deactivated on June 26, 2018

NPI Profile Active February 08, 2017

NPI status registered as active in NPPES database

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Updated Practice Location February 08, 2017

Registered at 18697 BAGLEY RD, MIDDLEBURG HEIGHTS, OH 441303417 (Tel: 4408166246)

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Updated Business Mailing Address February 08, 2017

Registered at PO BOX 715128, COLUMBUS, OH 432715128 (Tel: 5177876440)

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Provider Name / Credentials Updated February 08, 2017

Recorded as JENNIFER WIRKUS, AA

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 08, 2017

Anesthesiologist Assistant

NPI Profile Active May 01, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location May 01, 2013

Registered at 18697 BAGLEY RD, MIDDLEBURG HEIGHTS, OH 441303417 (Tel: 4408166246)

📍
Updated Business Mailing Address May 01, 2013

Registered at PO BOX 715128, COLUMBUS, OH 432715128 (Tel: 5177876440)

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Provider Name / Credentials Updated May 01, 2013

Recorded as JENNIFER BOTSON, CRNA

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 01, 2013

Anesthesiologist Assistant

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Initial NPI Registration & Enumeration May 01, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1174968457
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 01, 2013
Last Update: May 01, 2013
Deactivation Date: June 26, 2018

Mailing Address

Po Box 715128

Columbus, OH 432715128

Phone: 5177876440

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.