Individual provider Active NPI

Jacob William Pressler, CRNA

  • Certified Registered Nurse Anesthetist
  • Saint Louis, MO
National Provider Identifier
1467711226
Registry record updated Jan 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
209009628 Issued in IL
Practice address
725 Tuxedo Blvd
Saint Louis, MO 63119-1946
Phone
(314) 471-4661
NPI assigned
May 14, 2012
Last updated
Jan 29, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 209009628 IL Primary

Addresses

Primary practice location

725 Tuxedo Blvd
Saint Louis, MO 63119-1946

Mailing address

725 Tuxedo Blvd
Saint Louis, MO 63119-1946
Phone (314) 471-4661

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120926000287 IL Practitioner - Certified Registered Nurse Anesthetist (Crna) 3870742448 Reassigns benefits to 6 organizations
I20220727002085 PA Practitioner - Certified Registered Nurse Anesthetist (Crna) 3870742448 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
G and G Anesthesia LLCGroup PAC ID 4981912607, 92 clinicians
HSHS Holy Family Hospital IncGroup PAC ID 7517879349, 25 clinicians

Practice addresses (Care Compare)

1 Saint Anthonys Way
Alton, IL 62002-4568
Phone (618) 465-2571

200 Health Care Dr
Greenville, IL 62246-1154
Phone (618) 664-1230

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
St. Mary's Hospital, Centralia, Illinois CurrentSince Feb 1, 2017 Accepting new patients
G & G Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 21, 2016 Accepting new patients
St. Mary's Hospital, Centralia, Illinois CurrentSince Feb 1, 2017 Accepting new patients
St. Mary's Hospital, Centralia, Illinois Current Accepting new patients
360 Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2022 Accepting new patients
Marshall Browning Hospital Association CurrentSince Apr 27, 2024 Accepting new patients
Marshall Browning Hospital Association CurrentSince Apr 27, 2024 Accepting new patients
Granite City Physicians Corp Past Accepting new patients
Ahp of Illinois, Inc Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

1 Saint Anthonys Way
Alton, IL 62002
Phone (618) 233-6870

400 N Pleasant Ave
Centralia, IL 62801
Phone (618) 436-5221

4646 N Marine Dr
Chicago, IL 60640
Phone (773) 564-5102

7420 Solutions Ctr
Chicago, IL 60677
Phone (314) 989-3155

900 N Washington St
Du Quoin, IL 62832
Phone (618) 542-1050

2100 Madison Ave
Granite City, IL 62040
Phone (618) 798-3000

12866 Troxler Ave
Highland, IL 62249
Phone (618) 651-2600

3 Erie Ct
Oak Park, IL 60302
Phone (708) 763-6200

1145 Corporate Lake Dr
Saint Louis, MO 63132
Phone (314) 989-6189

575 N River St
Wilkes Barre, PA 18764
Phone (570) 552-1300

Organizations & group practices 11

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

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1336953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422489600000",
    "number": "1467711226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 TUXEDO BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631191946",
            "telephone_number": "314-471-4661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 TUXEDO BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631191946",
            "telephone_number": "314-471-4661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRESSLER",
        "first_name": "JACOB",
        "middle_name": "WILLIAM",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-14",
        "last_updated": "2015-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IL",
            "license": "209009628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2015; 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.