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JEROME P MADDOCK CRNA
NPI 1295888774
Nurse Anesthetist, Certified Registered in Bismarck, ND

Active since January 19, 2007
79.63/100
CMS Quality Rating
900 E BROADWAY AVENUE, BISMARCK, ND 58501(701) 530-7000(701) 530-8842 Get Directions Write a Review

NPPES record last updated: July 8, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jerome P Maddock Crna NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEROME P MADDOCK CRNA (NPI 1295888774) is an individual nurse anesthetist, certified registered in Bismarck, North Dakota, licensed in North Dakota (R17473) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1295888774
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameJEROME P MADDOCKCredential: CRNA
Location Address900 E BROADWAY AVENUEBismarck, ND 58501
Mailing AddressPo Box 997Bismarck, ND 58502-0997 · (701) 530-7000 · Fax (701) 530-8842
Phone(701) 530-7000
Fax(701) 530-8842
Sole ProprietorNo
Enumeration DateJanuary 19, 2007
Last NPPES UpdateJuly 8, 2016
✔ NPI 1295888774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in ND · R17473
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
900 E BROADWAY AVENUE, Bismarck, ND 58501
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Other Identifiers 2

Medicare PINN721592ND
Medicaid1452782ND

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

79.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.03
Promoting Interoperability78
Improvement Activities40
Cost74.42

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RENEE CHRIST CRNA
Nurse Anesthetist, Certified Registered
900 E BROADWAY AVENUE
BISMARCK, ND 58501
Burleigh County (701) 530-7000
KIM E GEIGER CRNA
Nurse Anesthetist, Certified Registered
900 E BROADWAY AVENUE
BISMARCK, ND 58501
Burleigh County (701) 530-7000
GLORIA D WOLF FNP
Nurse Practitioner
900 E BROADWAY AVENUE
BISMARCK, ND 58501
Burleigh County (701) 530-7000
SHELLEY PORTER LRD
Dietitian, Registered
900 E BROADWAY AVENUE
BISMARCK, ND 58501
Burleigh County (701) 530-7000
CHATREE WONGJIRAD MD
Psychiatry & Neurology (Neurology)
900 E BROADWAY AVENUE
BISMARCK, ND 58501
Burleigh County (701) 530-7000
GARY RITTER CRNA
Nurse Anesthetist, Certified Registered
900 E BROADWAY AVENUE
BISMARCK, ND 58501
Burleigh County (701) 530-7000
ARLA TESKE CRNA
Nurse Anesthetist, Certified Registered
900 E BROADWAY AVENUE
BISMARCK, ND 58501
Burleigh County (701) 530-7000
DR. TIMOTHY M. GOLD MD
Anesthesiology
900 E BROADWAY AVENUE
BISMARCK, ND 58501
Burleigh County (701) 530-7000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jerome Maddock's NPI number?

The NPI number for Jerome Maddock is 1295888774. It was assigned to this individual provider in the NPPES registry on January 19, 2007.

Where is Jerome Maddock located?

Jerome Maddock practices at 900 E Broadway Avenue, Bismarck, ND 58501. The listed phone number is (701) 530-7000.

What is Jerome Maddock's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

What insurance does Jerome Maddock accept?

Health plans from Medica list Jerome Maddock as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jerome Maddock was last updated on July 8, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.