Jacob D Hantla, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

CRNA0786 Issued in AZ

Practice address

1849 W Orchid LN
Chandler, AZ 85224-9034

Phone

(480) 241-3769

Fax

(480) 393-4109

NPI assigned

Jul 25, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Guide Anesthesia Az LLCGroup PAC ID 1355846106, 102 clinicians

Anesthesia Partners and Management LLCGroup PAC ID 9931429198, 151 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Abrazo Arrowhead Hospital Hospital, Glendale, AZ, CCN 030094

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

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.

• Guide Anesthesia Az LLC

  • Certified Registered Nurse Anesthetist
  • Phoenix, AZ
  • NPI 1649164849

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Anesthesia Partners & Management LLC

  • Certified Registered Nurse Anesthetist
  • Brighton, MI
  • NPI 1336530997

  AZ

  Medicare reassignment Care Compare group
• Ascend Anesthesia LLC

  • Certified Registered Nurse Anesthetist
  • Mesa, AZ
  • NPI 1407642945

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Hospitalist Medicine Physicians of Arizona - Nogales

  • Certified Registered Nurse Anesthetist
  • Tucson, AZ
  • NPI 1487251799

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Anesthesia Partners of Arizona LLC

  • Anesthesiology Physician
  • Richardson, TX
  • NPI 1619452901

  AZ

  Medicare reassignment

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

• VHS of Arrowhead, Inc

  • General Acute Care Hospital
  • Glendale, AZ
  • NPI 1326022765
  Care Compare affiliation
• VHS of Arrowhead, Inc.

  • General Acute Care Hospital
  • Peoria, AZ
  • NPI 1801340781
  Care Compare affiliation

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

{
    "created_epoch": "1311552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316131200000",
    "number": "1598043572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1849 W ORCHID LN",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852249034",
            "telephone_number": "480-241-3769",
            "fax_number": "480-393-4109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1849 W ORCHID LN",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852249034",
            "telephone_number": "480-241-3769",
            "fax_number": "480-393-4109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANTLA",
        "first_name": "JACOB",
        "middle_name": "D",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-25",
        "last_updated": "2011-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN139385",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9307995",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AZ",
            "license": "CRNA0786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Hanser, FNP
• Alana Rae Bucek Hanson
• Michael Hanson, PHARMD
• Robert Andrew Hanson, DO
• William Hanson, DPT
• Happy Kids Pediatrics P.C.
• Michelle T. Harbottle, PA-C
• Anthony W Harden, PT
• Pauline Hardesty, DO
• Taylor Hardiman

• Certified Registered Nurse Anesthetist in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Certified Registered Nurse Anesthetist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2011; 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.