MARY E. JEDLICKA APRN.CRNA
NPI 1538798699
Nurse Anesthetist, Certified Registered in Columbus, OH

Q: What is Mary Jedlicka's NPI number?

The NPI number for Mary Jedlicka is 1538798699. It was assigned to this individual provider in the NPPES registry on April 2, 2020.

Q: What is Mary Jedlicka's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mary Jedlicka was last updated on October 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.

Active since April 02, 2020Accepts Medicare Assignment

95.31/100

CMS Quality Rating

410 W 10TH AVE FL 1, COLUMBUS, OH 43210(614) 293-8487(614) 293-8153 Get Directions Write a Review

NPPES record last updated: October 7, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 7, 2025, Feb 11, 2022, Sep 22, 2020 and 1 more (4 updates tracked since 2020).

On this page

About Mary E. Jedlicka Aprn.crna NPPES

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

MARY E. JEDLICKA APRN.CRNA (NPI 1538798699) is an individual nurse anesthetist, certified registered in Columbus, Ohio, licensed in Ohio (APRN.CRNA.0020095) and active in the NPI registry since April 2020. She is affiliated with Mount Carmel East & West, maintains a secondary practice location in Chillicothe, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1538798699

Entity TypeIndividualFemale

Primary Taxonomy367500000X

Provider Legal NameMARY E. JEDLICKACredential: APRN.CRNA

Location Address410 W 10TH AVE FL 1Columbus, OH 43210-1240

Mailing Address700 Ackerman Rd Ste 2120Columbus, OH 43202-1559 · (614) 293-8487

Phone(614) 293-8487

Fax(614) 293-8153

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateApril 2, 2020

Last NPPES UpdateOctober 7, 20254 updates tracked since enumeration

NPPES CertifiedOctober 7, 2025

✔ NPI 1538798699 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 OH · APRN.CRNA.0020095

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.

410 W 10TH AVE FL 1, Columbus, OH 43210

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Secondary Practice Location 1

Location 1272 Hospital RdChillicothe, OH 45601-9031 · Phone (740) 779-7540 · Fax (740) 779-7867

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Insurance.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

Mary E. Jedlicka Aprn.crna 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 ID3173947371

PECOS Enrollment IDI20200721002928

Medicare Billing Reassignments

Medicare enrollment records show Mary Jedlicka reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Osu Observation Medicine, LLC

Same address

Anesthesiology

410 W 10TH AVE
Columbus, OH 43210

Reassigned Medicare billing, Ohio enrollment
551 clinicians in this Medicare group

NPI 1407095052 (614) 293-8487

Premier Anesthesia Of Ohio LLC

10 mi

Anesthesiology

5300 N MEADOWS DR
Grove City, OH 43123

Reassigned Medicare billing, Ohio enrollment
280 clinicians in this Medicare group

NPI 1699196022 (614) 663-5000

Sandusky Anesthesia LLC

27 mi

Nurse Anesthetist, Certified Registered

600 N PICKAWAY ST
Circleville, OH 43113

Reassigned Medicare billing, Ohio enrollment
365 clinicians in this Medicare group

NPI 1770907859 (740) 420-8020

Adena Medical Group LLC

41 mi

Family Medicine

272 HOSPITAL RD
Chillicothe, OH 45601

Reassigned Medicare billing, Ohio enrollment
763 clinicians in this Medicare group

NPI 1235468083 (740) 779-7500

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 other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731

This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.

12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Mount Carmel East & West

Acute Care Hospitals · Columbus, OH

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360035

Location6001 East Broad StreetColumbus, OH 43213 · Franklin County

Emergency services Birthing friendly

Ohio State University State Health System

Acute Care Hospitals · Columbus, OH

4/5 CMS rating

OwnershipGovernment - State

CMS Certification Number360085

Location410 West 10th AvenueColumbus, OH 43210 · Franklin County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43210 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

$126.12 typical visit price

range $54.34 – $166.65

Typical copayment $31.53 (range $13.58 – $41.66)

Most-billed visit code 99204

Established Patient

$68.07 typical visit price

range $17.10 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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.

95.31/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

76.58

Promoting Interoperability

100

Improvement Activities

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.

SHELBY FULLEN CAA

Anesthesiologist Assistant