Active NPI
Jacob Kessen, CRNA
- Certified Registered Nurse Anesthetist
- Kansas City, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 43-557576-122
- Practice address
- 3901 Rainbow Blvd
Kansas City, KS 66160-8500 - Phone
- (913) 588-5000
- NPI assigned
- Nov 29, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 252662 | GA | |
| Registered Nurse | 163W00000X | 14-142778-122 | KS | |
| Certified Registered Nurse Anesthetist | 367500000X | 155909 | KS | |
| Certified Registered Nurse Anesthetist | 367500000X | 43-557576-122 | KS | Primary |
Addresses
Primary practice location
3901 Rainbow Blvd
Kansas City, KS 66160-8500
Mailing address
12117 W 99TH St
Lenexa, KS 66215-1660
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326552282 | Medicaid | KS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS, AZ, GA, TX, OK
Enrollment records 5
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10512 N 110TH E Ave
Bailey Med Ctr
Owasso, OK 74055-6636
Phone (918) 376-8000
11937 US Hwy 271
Tyler, TX 75708-3154
Phone (903) 877-7000
14101 Pkwy Commons Dr
Oklahoma City, OK 73134-6012
Phone (405) 749-2700
7400 Barlite Blvd
San Antonio, TX 78224-1308
Phone (210) 921-2000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 252662 | GA | MD | Registered Nurse |
| 14-142778-122 | KS | MD | Registered Nurse |
| 155909 | KS | MD | Certified Registered Nurse Anesthetist |
| 43-557576-122 | KS | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mak Anesthesia Holdings LLC | Current | Accepting new patients | |
| Anesthesia Partners & Management LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Mak Anesthesia Georgia, LLC | Current | Accepting new patients | |
| Emergenchealth PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Fortis Health, LLC | Current | Accepting new patients |
Locations (25 of 28)
1020 N San Francisco St
Ste 100
Flagstaff, AZ 86001
Phone (928) 774-2300
103 Medicine Way Rd
Peridot, AZ 85542
Phone (928) 475-1200
7301 N 16th St
Ste 102
Phoenix, AZ 85020
Phone (602) 772-8600
3900 E Camelback Rd
Ste 190
Phoenix, AZ 85018
Phone (888) 724-6236
4600 E Washington St
Ste 300
Phoenix, AZ 85034
Phone (602) 638-1872
3110 Clearwater Dr
Prescott, AZ 86305
Phone (623) 241-6185
1704 W Anklam Rd
Ste 108
Tucson, AZ 85745
Phone (623) 241-6185
2041 Mesa Valley Way
Ste 125
Austell, GA 30106
Phone (678) 309-8100
3950 Austell Rd
Austell, GA 30106
Phone (770) 732-3752
1266 Highway 515 S
Jasper, GA 30143
Phone (706) 301-5350
1300 Ridenour Blvd NW
Ste 300
Kennesaw, GA 30152
Phone (770) 693-0810
780 Canton Rd NE
Ste 100250
Marietta, GA 30060
Phone (770) 422-1579
895 Canton Rd NE
Bldg 200
Marietta, GA 30060
Phone (678) 784-0203
2550 Windy Hill Rd SE
Ste 218
Marietta, GA 30067
Phone (770) 933-1900
4500 Hospital Blvd
Ste 210
Roswell, GA 30076
3000 Hospital Blvd
Roswell, GA 30076
Phone (770) 751-2500
5995 Barfield Rd
Sandy Springs, GA 30328
Phone (404) 256-1507
1100 Johnson Fy Rd NE
Ste 130
Sandy Springs, GA 30342
Phone (404) 531-9988
4441 Atlanta Rd SE
Ste 312
Smyrna, GA 30080
Phone (470) 956-4200
2131 Fountain Dr
Snellville, GA 30078
Phone (770) 736-2225
2306 Wisteria Dr
Ste 100
Snellville, GA 30078
Phone (770) 979-8200
6001 SW 6th Ave
Ste 100
Topeka, KS 66615
Phone (785) 272-8807
14425 Falcon Head Blvd
#11
Austin, TX 78738
Phone (512) 900-1006
3080 College St
#T
Beaumont, TX 77701
Phone (409) 212-5002
6949 Bryant Irvin Rd
Ste 110
Ft Worth, TX 76132
Phone (817) 332-1818
Interoperability endpoints
- jkessen536350@direct-ehr-ssmhc.com
Organizations & group practices 5
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.
-
- Anesthesiology Physician
- Fort Worth, TX
- NPI 1467970897
KS, Nurse Anesthetist, Certified Registered, OK
-
- Certified Registered Nurse Anesthetist
- Brighton, MI
- NPI 1336530997
AZ, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Jasper, GA
- NPI 1659960276
-
- Anesthesiology Physician
- Kennesaw, GA
- NPI 1609390103
-
- Anesthesiology Physician
- Kennesaw, GA
- NPI 1912452939
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1699745893
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1511913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525996800000",
"number": "1326552282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12117 W 99TH ST",
"city": "LENEXA",
"state": "KS",
"postal_code": "662151660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3901 RAINBOW BLVD",
"city": "KANSAS CITY",
"state": "KS",
"postal_code": "661608500",
"telephone_number": "913-588-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KESSEN",
"first_name": "JACOB",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-11-29",
"last_updated": "2018-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "GA",
"license": "252662",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "KS",
"license": "14-142778-122",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "KS",
"license": "155909",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "KS",
"license": "43-557576-122",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1326552282",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kansas City, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2018; 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.