Active NPI
Jake Galan Harper
- Certified Registered Nurse Anesthetist
- Ashland, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 4041650
- Practice address
- 2201 Lexington Ave
Ashland, KY 41101-2843 - Phone
- (606) 408-4000
- Fax
- (606) 408-7426
- NPI assigned
- Mar 2, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN9452369 | FL | |
| Certified Registered Nurse Anesthetist | 367500000X | APRN.CRNA.0021301 | OH | |
| Certified Registered Nurse Anesthetist | 367500000X | 4041650 | KY | Primary |
Addresses
Primary practice location
2201 Lexington Ave
Ashland, KY 41101-2843
Mailing address
440 SW Sundance TRL
Port Saint Lucie, FL 34953-8220
Phone (561) 906-1619
Other practice location 1
1901 Argonne Rd
Portsmouth, OH 45662-2827
Phone (740) 991-4000
Other practice location 2
440 SW Sundance Trl
Port Saint Lucie, FL 34953-8220
Phone (561) 906-1619
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, KY
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250703003262 | OH | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 4385158195 | Reassigns benefits to 1 organization |
| I20250703003337 | KY | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 4385158195 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Kings Daughters Medical Specialties Inc
Practice addresses (Care Compare)
1901 Argonne Rd
Portsmouth, OH 45662-2827
Phone (740) 353-1978
2201 Lexington Ave
Ashland, KY 41101-2843
Phone (606) 408-4000
Hospital & facility affiliations
- King'S Daughters' Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN9452369 | FL | MD | Registered Nurse |
| APRN.CRNA.0021301 | OH | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kings Daughters Medical Specialties Inc | Current | Accepting new patients | |
| Kings Daughters Medical Specialties Inc | Current | Accepting new patients | |
| Kings Daughters Medical Specialties Inc | Current | Accepting new patients | |
| Kings Daughters Medical Specialties Inc | Current | Accepting new patients | |
| Kings Daughters Medcial Specialties Inc | Current | Accepting new patients |
Locations
2201 Lexington Ave
Ashland, KY 41101
Phone (606) 268-2560
1901 Argonne Rd
Portsmouth, OH 45662
Phone (740) 991-0911
1242 Crescent Dr
Wheelersburg, OH 45694
Phone (740) 574-8441
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.
-
- Physical Medicine & Rehabilitation Physician
- Prestonsburg, KY
- NPI 1710215736
KY
-
- Hematology & Oncology Physician
- Ashland, KY
- NPI 1174967871
-
- Radiation Oncology Physician
- Ashland, KY
- NPI 1699565176
-
- Cardiovascular Disease Physician
- Ashland, KY
- NPI 1972830404
Hospital & facility affiliations 1
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": "1677715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750723200000",
"number": "1609575216",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "440 SW SUNDANCE TRL",
"city": "PORT SAINT LUCIE",
"state": "FL",
"postal_code": "349538220",
"telephone_number": "561-906-1619"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2201 LEXINGTON AVE",
"city": "ASHLAND",
"state": "KY",
"postal_code": "411012843",
"telephone_number": "606-408-4000",
"fax_number": "606-408-7426"
}
],
"practiceLocations": [
{
"address_1": "1901 Argonne Rd",
"address_purpose": "LOCATION",
"city": "Portsmouth",
"state": "OH",
"postal_code": "456622827",
"country_code": "US",
"telephone_number": "740-991-4000",
"fax_number": "606-408-7426",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "440 SW Sundance Trl",
"address_purpose": "LOCATION",
"city": "Port Saint Lucie",
"state": "FL",
"postal_code": "349538220",
"country_code": "US",
"telephone_number": "561-906-1619",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HARPER",
"first_name": "JAKE",
"middle_name": "GALAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-03-02",
"last_updated": "2025-06-24",
"certification_date": "2025-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "FL",
"license": "RN9452369",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OH",
"license": "APRN.CRNA.0021301",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "KY",
"license": "4041650",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ashland, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2025; 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.