CIERRA JANIECE JETHRO
NPI 1972387157
Nurse Anesthetist, Certified Registered in Edwardsville, IL

Active since August 21, 2023PECOS EnrolledAccepts Medicare Assignment
1 HAIRPIN DRIVE, EDWARDSVILLE, IL 62026(618) 650-3956 Get Directions Write a Review

NPPES record last updated: June 17, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 17, 2025, Aug 21, 2023 (2 updates tracked since 2023).

About Cierra Janiece Jethro NPPES

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

CIERRA JANIECE JETHRO (NPI 1972387157) is an individual nurse anesthetist, certified registered in Edwardsville, Illinois, licensed in Missouri (2025023180) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS, is affiliated with Memorial Hospital, and maintains a secondary practice location in Fairview Heights.

NPPES Registry Identity

NPI1972387157
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameCIERRA JANIECE JETHRO
Location Address1 HAIRPIN DRIVEEdwardsville, IL 62026-0001
Mailing Address1 Hairpin DriveEdwardsville, IL 62026-0001 · (618) 650-3956
Sole ProprietorNo
Medical School CMSSouthern Illinois University School Of MedicineGraduated 2025
Enumeration DateAugust 21, 2023
Last NPPES UpdateJune 17, 20252 updates tracked since enumeration
NPPES CertifiedJune 17, 2025
✔ NPI 1972387157 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in MO · 2025023180
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.
1 HAIRPIN DRIVE, Edwardsville, IL 62026

Secondary Practice Location 1

Location 155 Potomac DrFairview Heights, IL 62208-1815 · Phone (618) 444-6458

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

Cierra Janiece Jethro 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 ID7315442118
PECOS Enrollment IDI20250923004034, I20250926001220
Eligible to Order & Refer✔ Part B Labs & Imaging– Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Cierra Jethro reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pain Medicine
11155 DUNN RD, SUITE 204N
Saint Louis, MO 63136
  • Reassigned Medicare billing, Missouri enrollment
  • 19 clinicians in this Medicare group
Anesthesiology
11133 DUNN RD
Saint Louis, MO 63136
  • Reassigned Medicare billing, Illinois and Missouri enrollments
  • Medicare enrollment name: Midwest Anesthesia Providers Sc
  • 253 clinicians in this Medicare group
Anesthesiology
3933 S BROADWAY, ANESTHESIA DEPT
St Louis, MO 63118
  • Reassigned Medicare billing, Illinois and Missouri enrollments
  • 25 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.

Hospital Affiliations CMS Care Compare

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

Memorial Hospital

Acute Care Hospitals · Belleville, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140185
Location4500 Memorial DriveBelleville, IL 62226 · St. Clair County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62026 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
$131.14 typical visit price
range $56.28 – $173.35
Typical copayment $32.78 (range $14.07 – $43.33)
Most-billed visit code 99204
Established Patient
$70.42 typical visit price
range $17.51 – $139.99
Typical copayment $17.60 (range $4.37 – $34.99)
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.

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.

Student in an Organized Health Care Education/Training Program
1 HAIRPIN DRIVE
EDWARDSVILLE, IL 62026
Student in an Organized Health Care Education/Training Program
1 HAIRPIN DRIVE
EDWARDSVILLE, IL 62026
Nurse Practitioner (Family)
1 HAIRPIN DRIVE
EDWARDSVILLE, IL 62026
Student in an Organized Health Care Education/Training Program
1 HAIRPIN DRIVE
EDWARDSVILLE, IL 62026
Student in an Organized Health Care Education/Training Program
1 HAIRPIN DRIVE
EDWARDSVILLE, IL 62026
Student in an Organized Health Care Education/Training Program
1 HAIRPIN DRIVE
EDWARDSVILLE, IL 62026
Registered Nurse
1 HAIRPIN DRIVE
EDWARDSVILLE, IL 62026
Nurse Practitioner
1 HAIRPIN DRIVE
EDWARDSVILLE, IL 62026

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 Cierra Jethro's NPI number?

The NPI number for Cierra Jethro is 1972387157. It was assigned to this individual provider in the NPPES registry on August 21, 2023.

Where is Cierra Jethro located?

Cierra Jethro practices at 1 Hairpin Drive, Edwardsville, IL 62026. The listed phone number is (618) 650-3956.

What is Cierra Jethro's specialty?

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

Is Cierra Jethro enrolled in Medicare?

Yes. Cierra Jethro 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 Cierra Jethro's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Cierra Jethro reassigns Medicare benefits to 3 organizations: Midwest Anesthesia Associates, P.C. (Saint Louis, MO), Midwest Anesthesia Providers S.C (Saint Louis, MO) and Specialists In Anesthesia PC (St Louis, MO). 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 Cierra Jethro's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Cierra Jethro affiliated with any hospitals?

According to CMS data, Cierra Jethro is affiliated with Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Cierra Jethro was last updated on June 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.