Doctor profile · Federal record
Dr. Jaclyn Johanboeke, CRNA
Certified Registered Nurse Anesthetist (CMS: Certified Registered Nurse Anesthetist (CRNA)) · Louisville, KY
- NPI 1508176058
- Accepts Medicare
- MIPS 81.7 / 100 · 2023
- 16 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
10207 Springhurst Gardens Cir
Louisville, KY 402415194
(502) 548-3117
Credentials & registration
- NPI registered
- October 2010 — 16 yrs on file
- Profile last updated
- March 31, 2012
- Year of graduation
- 2010 — 16 yrs since
- Specialty taxonomy
- 367500000X — NUCC code
- State license (1)
- Kentucky #1107361
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1508176058. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
87
Distinct HCPCS
6
Medicare allowed
$10,566
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
00811 |
Anesthesia for other procedure on large bowel using an endoscope | 22 | 22 | $90 | |
00914 |
Anesthesia for removal of prostate including use of an endoscope | 14 | 14 | $153 | |
01214 |
Anesthesia for total hip replacement | 14 | 14 | $232 | |
00812 |
Anesthesia for exam of colon using an endoscope | 13 | 13 | $79 | |
00910 |
Anesthesia for other procedure on urinary system through urethra | 13 | 13 | $76 | |
00731 |
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope | 11 | 11 | $106 |
In context: peer comparison
Among 99 peers in this city , average services per provider: 26. This provider delivers 3.3× the peer median.Open Payments
Industry payments received
All-time total
$55
Transactions
3
Manufacturers
3
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Edwards Lifesciences Corporation | 1 | $23.15 | |
| Avanos Medical | 1 | $18.39 | |
| Merck Sharp & Dohme LLC | 1 | $13.84 |
By nature of payment
Frequently asked questions
What is Dr. Jaclyn Johanboeke's medical specialty?
Dr. Jaclyn Johanboeke practices Certified Registered Nurse Anesthetist in Louisville, KY.
Where does Dr. Jaclyn Johanboeke practice?
Dr. Jaclyn Johanboeke practices at 10207 Springhurst Gardens Cir, Louisville, KY 402415194. Office phone: 5025483117.
What is Dr. Jaclyn Johanboeke's NPI?
Dr. Jaclyn Johanboeke's National Provider Identifier (NPI) is 1508176058, issued by NPPES.
Does Dr. Jaclyn Johanboeke accept Medicare assignment?
Yes. Dr. Jaclyn Johanboeke accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Jaclyn Johanboeke commonly perform?
Top Medicare-reported procedures in 2023: Anesthesia for other procedure on large bowel using an endoscope (HCPCS 00811); Anesthesia for removal of prostate including use of an endoscope (HCPCS 00914); Anesthesia for total hip replacement (HCPCS 01214). Source: CMS Medicare Physician & Other Practitioners file.