Active NPI
Matthew Roy Jacobsen, CRNA
- Certified Registered Nurse Anesthetist
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- AP114088
- Practice address
- 1500 Citywest Blvd Ste 300
Houston, TX 77042-2549 - Phone
- (713) 620-4000
- NPI assigned
- Nov 17, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 688836 | TX | |
| Certified Registered Nurse Anesthetist | 367500000X | AP114088 | TX | Primary |
Addresses
Primary practice location
1500 Citywest Blvd Ste 300
Houston, TX 77042-2549
Mailing address
PO Box 840853
Dallas, TX 75284-8423
Phone (713) 620-4000
Other practice location 1
17207 Kuykendahl Rd
#200
Spring, TX 77379-8423
Phone (832) 698-5320
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050815000145 | TX | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 1153351788 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- U S Anesthesia Partners of Texas, PA
Practice addresses (Care Compare)
1500 Citywest Blvd
Suite 300
Houston, TX 77042-2549
Phone (713) 620-4000
Hospital & facility affiliations
- HCA Houston Healthcare Tomball
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.94 of 100
- Quality
- 91.31
- Improvement activities
- 40
- Cost
- 79.05
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Best Choice Anesthesia & Pain PLLC | Current | Accepting new patients | |
| U S Anesthesia Partners of Texas, PA | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| U. S. Anesthesia Partners of Texas, P.a., | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
710 FM 1960 Rd W
Houston, TX 77090
Phone (281) 440-1000
1500 Citywest Blvd
Ste 300
Houston, TX 77042
Phone (713) 458-4185
7010 Champions Plaza Dr
Ste 300
Houston, TX 77069
Phone (832) 698-5320
7600 Beechnut St
Houston, TX 77074
Phone (713) 456-5000
100 Medical Dr
Lake Jackson, TX 77566
Phone (713) 496-7555
19226 Stonehue
Ste 103
San Antonio, TX 78258
Phone (210) 268-0100
9250 Pinecroft Dr
Shenandoah, TX 77380
Phone (281) 364-2300
605 Holderrieth Blvd
Tomball, TX 77375
Phone (281) 401-7500
6720 Bertner Ave
Va Hospital, TX 77030
Phone (713) 785-8537
Organizations & group practices 3
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
- Houston, TX
- NPI 1548208564
Nurse Anesthetist, Certified Registered, TX
-
- Interventional Pain Medicine Physician
- Addison, TX
- NPI 1053800391
Nurse Anesthetist, Certified Registered
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": "1132185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588032000000",
"number": "1669454476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 840853",
"city": "DALLAS",
"state": "TX",
"postal_code": "752848423",
"telephone_number": "713-620-4000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 CITYWEST BLVD STE 300",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770422549",
"telephone_number": "713-620-4000"
}
],
"practiceLocations": [
{
"address_1": "17207 Kuykendahl Rd",
"address_2": "#200",
"address_purpose": "LOCATION",
"city": "Spring",
"state": "TX",
"postal_code": "773798423",
"country_code": "US",
"telephone_number": "832-698-5320",
"fax_number": "832-698-5321",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JACOBSEN",
"first_name": "MATTHEW",
"middle_name": "ROY",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-17",
"last_updated": "2020-04-28",
"certification_date": "2020-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "688836",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "AP114088",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2020; 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.