MR. JON ERIC ROLSTON C.R.N.A.
NPI 1386912392
Nurse Anesthetist, Certified Registered in Tulsa, OK

Active since December 05, 2011Accepts Medicare Assignment
98.67/100
CMS Quality Rating
1923 S UTICA AVE, BOX 217, TULSA, OK 74104(918) 744-3664(918) 748-7688 Get Directions Write a Review

NPPES record last updated: February 7, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mr. Jon Eric Rolston C.r.n.a. NPPES

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

MR. JON ERIC ROLSTON C.R.N.A. (NPI 1386912392) is an individual nurse anesthetist, certified registered in Tulsa, Oklahoma, licensed in Oklahoma (84412) and active in the NPI registry since December 2011. He is affiliated with Ascension St John Medical Center and is a graduate of Other (2011).

NPPES Registry Identity

NPI1386912392
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameMR. JON ERIC ROLSTONCredential: C.R.N.A.
Location Address1923 S UTICA AVE, BOX 217Tulsa, OK 74104-6520
Mailing Address1923 S Utica Ave, Box 217Tulsa, OK 74104-6520 · (918) 744-3664 · Fax (918) 748-7688
Fax(918) 748-7688
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateDecember 5, 2011
Last NPPES UpdateFebruary 7, 2014
✔ NPI 1386912392 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 OK · 84412
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.
1923 S UTICA AVE, Tulsa, OK 74104

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Jon Eric Rolston C.r.n.a. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4385805258
PECOS Enrollment IDI20120420000052

Medicare Billing Reassignments

5

Medicare enrollment records show Jon Rolston reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anesthesiology
3029 W MAIN ST
Jenks, OK 74037
  • Reassigned Medicare billing, Oklahoma enrollment
  • 199 clinicians in this Medicare group
Multi-Specialty
101 S MOORE AVE
Claremore, OK 74017
  • Reassigned Medicare billing, Texas enrollment
  • 1,047 clinicians in this Medicare group
Anesthesiology
1801 W 3RD ST
Elk City, OK 73644
  • Reassigned Medicare billing, Oklahoma enrollment
  • 108 clinicians in this Medicare group
Anesthesiology
2000 E LAMAR BLVD STE 400
Arlington, TX 76006
  • Reassigned Medicare billing, Oklahoma enrollment
  • 144 clinicians in this Medicare group
Anesthesiology
4100 INTERNATIONAL PLZ STE 800
Fort Worth, TX 76109
  • Reassigned Medicare billing, Oklahoma enrollment
  • 315 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for extensive surgery on spine 00670
Anesthesia for extensive spine surgery involves medication to block pain and make you unconscious during the procedure. It ensures comfort and prevents movement. Two types may be used: general (you sleep) or regional (numbs a large area). The choice depends on the surgery specifics and your health.
18 services17 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ascension St John Medical Center

Acute Care Hospitals · Tulsa, OK
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370114
Location1923 South Utica AvenueTulsa, OK 74104 · Tulsa County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$123.06 typical visit price
range $53.00 – $162.61
Typical copayment $30.76 (range $13.25 – $40.65)
Most-billed visit code 99204
Established Patient
$66.48 typical visit price
range $16.68 – $132.40
Typical copayment $16.62 (range $4.17 – $33.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

98.67/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality92.77
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

Internal Medicine
1923 S UTICA AVE
TULSA, OK 74104
Pathology (Anatomic Pathology & Clinical Pathology)
1923 S UTICA AVE
TULSA, OK 74104
Clinic/Center (Urgent Care)
1923 S UTICA AVE, DAVIS TOWER 200
TULSA, OK 74104
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1923 S UTICA AVE
TULSA, OK 74104
Pathology (Anatomic Pathology & Clinical Pathology)
1923 S UTICA AVE
TULSA, OK 74104
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1923 S UTICA AVE
TULSA, OK 74104
Nurse Anesthetist, Certified Registered
1923 S UTICA AVE
TULSA, OK 74104
Nurse Practitioner
1923 S UTICA AVE
TULSA, OK 74104

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 Jon Rolston's NPI number?

The NPI number for Jon Rolston is 1386912392. It was assigned to this individual provider in the NPPES registry on December 5, 2011.

Where is Jon Rolston located?

Jon Rolston practices at 1923 S Utica Ave Box 217, Tulsa, OK 74104. The listed phone number is (918) 744-3664.

What is Jon Rolston's specialty?

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

Is Jon Rolston enrolled in Medicare?

Yes. Jon Rolston is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Jon Rolston's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jon Rolston reassigns Medicare benefits to 5 organizations: Integral Anesthesia, LLC (Jenks, OK), Cherokee Nation (Claremore, OK), Western Oklahoma Anesthesia Consultants PLLC (Elk City, OK), Northstar Anesthesia Of Oklahoma, PLLC (Arlington, TX) and Emergenchealth PLLC (Fort Worth, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jon Rolston's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jon Rolston accept?

Health plans from Blue Cross and Blue Shield of Oklahoma list Jon Rolston 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.

Is Jon Rolston affiliated with any hospitals?

According to CMS data, Jon Rolston is affiliated with Ascension St John Medical Center.

When was this NPI record last updated?

The NPPES record for Jon Rolston was last updated on February 7, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.