Richard Yngve Jacobson Jr., CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

101116 Issued in IA

Practice address

112 Jefferson St
West Union, IA 52175

Phone

(563) 422-3811

NPI assigned

Jul 10, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cass County Memorial Hospital 67 clinicians

Waverly Health Center 44 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Grundy County Memorial Hospital Hospital, Grundy Center, IA, CCN 161303
• Hansen Family Hospital Hospital, Iowa Falls, IA, CCN 161380
• Waverly Health Center Hospital, Waverly, IA, CCN 161339
• Franklin General Hospital Hospital, Hampton, IA, CCN 161308
• Van Diest Medical Center Hospital, Webster City, IA, CCN 161361

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rjacobson316874@direct.emplifyhealth.org
• Direct secure messaging: rjacobson634206@direct.unitypoint.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cass County Memorial Hospital

  • Critical Access Hospital
  • Atlantic, IA
  • NPI 1093760944

  IA

  Medicare reassignment Care Compare group NPD
• Cass County Memorial Hospital

  • Critical Access Hospital
  • Atlantic, IA
  • NPI 1861597122

  IA

  Medicare reassignment Care Compare group NPD
• Waverly Health Center

  • Certified Registered Nurse Anesthetist
  • Waverly, IA
  • NPI 1033125463

  IA, Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Decatur County Hospital

  • Critical Access Hospital
  • Leon, IA
  • NPI 1144209255

  IA

  Medicare reassignment NPD
• Delaware County Memorial Hospital

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Manchester, IA
  • NPI 1982667929

  IA

  Medicare reassignment NPD
• Ellsworth Municipal Hospital

  • Critical Access Hospital
  • Iowa Falls, IA
  • NPI 1831296052

  IA

  Medicare reassignment NPD
• Franklin General Hospital

  • Critical Access Hospital
  • Hampton, IA
  • NPI 1477637759

  IA

  Medicare reassignment NPD
• Grundy County Memorial Hospital

  • Emergency Medicine Physician
  • Grundy Center, IA
  • NPI 1114012085

  IA, Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Grundy County Memorial Hospital

  • Critical Access Hospital
  • Grundy Center, IA
  • NPI 1821055989

  IA

  Medicare reassignment NPD
• Hamilton County Public Hospital

  • Critical Access Hospital
  • Webster City, IA
  • NPI 1295702397

  IA

  Medicare reassignment NPD
• Hamilton County Public Hospital

  • Rural Health Clinic/Center
  • Stratford, IA
  • NPI 1497957351

  IA

  Medicare reassignment NPD
• Iowa Physicians Clinic Medical Foundation

  • General Practice Physician
  • West Des Moines, IA
  • NPI 1366425274

  IA

  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ellsworth Municipal Hospital

  • Critical Access Hospital
  • Iowa Falls, IA
  • NPI 1831296052

  Hospital

  Care Compare affiliation
• Franklin General Hospital

  • Critical Access Hospital
  • Hampton, IA
  • NPI 1477637759

  Hospital

  Care Compare affiliation
• Grundy County Memorial Hospital

  • Critical Access Hospital
  • Grundy Center, IA
  • NPI 1821055989

  Hospital

  Care Compare affiliation
• Hamilton County Public Hospital

  • Critical Access Hospital
  • Webster City, IA
  • NPI 1295702397

  Hospital

  Care Compare affiliation
• Hamilton County Public Hospital

  • Rural Health Clinic/Center
  • Stratford, IA
  • NPI 1497957351

  Hospital

  Care Compare affiliation
• Waverly Health Center

  • Critical Access Hospital
  • Waverly, IA
  • NPI 1447299953

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559001600000",
    "number": "1023042686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 JEFFERSON ST",
            "city": "WEST UNION",
            "state": "IA",
            "postal_code": "521751022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 JEFFERSON ST",
            "city": "WEST UNION",
            "state": "IA",
            "postal_code": "52175",
            "telephone_number": "563-422-3811"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9040 Jackson Ave",
            "address_2": "Department of Operative and Anesthesia Services",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984315037",
            "country_code": "US",
            "telephone_number": "253-968-0742",
            "fax_number": "253-968-1506",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACOBSON",
        "first_name": "RICHARD",
        "middle_name": "YNGVE",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2019-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KS",
            "license": "55485",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IA",
            "license": "101116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Hartley, MOT
• Ashley Havenstrite
• Todd Gabriel Hershberger, CF-SLP
• Jessica Ann Hummel, NP
• Jennifer S Hutchinson, DNP, ARNP
• Carol L Jeglum, PAC
• Kylie Lynn Jirak, CNM
• John W Pleggenkuhle DC PC
• Angela Frances Kerndt, RD, LD
• Amanda Joy Korth, OD

• All providers in West Union, IA
• Certified Registered Nurse Anesthetist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.