Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jeromy Ryan Scofield, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1700336393

Jeromy Ryan Scofield, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Ponca City, Oklahoma. Qualified in 2016, 10 years ago. Practices with Northstar Anesthesia of Missouri LLC, a 83-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
10
Licensed in
OK
In the registry since
2016
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

1900 N 14th St
Ponca City, OK 74601-2035
Phone: (316) 519-3770
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 116018 (OK)

Record details

NPI number1700336393
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorYes
NPI enumeratedOctober 7, 2016
Last updated in NPPESOctober 7, 2016
Mailing address6539 S Oliver St, Derby, KS 67037-9071

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Northstar Anesthesia Of Missouri Llc — 83 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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