Active NPI
Jacob A. Kapplan, NURSE ANESTHESIST
- Certified Registered Nurse Anesthetist
- New Haven, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN2353222
- Practice address
- 333 Cedar St # ST3
New Haven, CT 06510-3206 - Phone
- (860) 972-2797
- NPI assigned
- Sep 14, 2015
- 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 | 089214 | CT | |
| Certified Registered Nurse Anesthetist | 367500000X | 089214 | CT | |
| Certified Registered Nurse Anesthetist | 367500000X | RN2353222 | MA | Primary |
Addresses
Primary practice location
333 Cedar St # ST3
New Haven, CT 06510-3206
Mailing address
41 Mall Rd
Burlington, MA 01805-0001
Phone (781) 744-5808
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT, MA
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
114 Woodland St
Hartford, CT 06105-1208
Phone (860) 714-6654
271 Carew St
Springfield, MA 01104-2377
Phone (860) 714-9688
55 Lake Ave N
Worcester, MA 01655-0002
Phone (508) 334-1000
Hospital & facility affiliations
- Mercy Medical Ctr
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 089214 | CT | MD | Registered Nurse |
| RN2353222 | MA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Berkshire Medical Center Inc. | Current | Accepting new patients | |
| Lahey Clinic, Inc. | Current | Accepting new patients | |
| Berkshire Medical Center, Inc | Current | Accepting new patients | |
| Charter Anesthesiology LLC | Current | Accepting new patients | |
| Yale University | Current | Accepting new patients | |
| Integrated Anesthesia Associates LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Umass Memorial Medical Group Inc | Current | Accepting new patients | |
| Lahey Clinic, Inc | Current | Accepting new patients | |
| Connecticut Gi PLLC | Current | Accepting new patients | |
| Umass Memorial Medical Group, Inc. | Current | Accepting new patients | |
| Yale University | Current | Accepting new patients |
Locations
41 Brewster Rd
Bristol, CT 06010
Phone (800) 585-3000
85 Seymour St
Ste 1000
Hartford, CT 06106
Phone (860) 246-2571
80 Seymour St
Hartford, CT 06106
Phone (860) 545-2249
114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001
300 Seaside Ave
Milford, CT 06460
Phone (203) 876-4000
50 Division St
New Haven, CT 06511
Phone (203) 785-2140
333 Cedar St
#3
New Haven, CT 06510
Phone (203) 737-1549
800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140
20 York St
North Haven, CT 06510
Phone (203) 688-2433
30 Waterchase Dr
Rocky Hill, CT 06067
Phone (860) 257-4131
245 Alvord Park Rd
Bldg B
Torrington, CT 06790
Phone (860) 482-4866
41 Mall Rd
Burlington, MA 01805
Phone (781) 744-8400
725 North St
Pittsfield, MA 01201
Phone (413) 447-2839
55 Lake Ave N
Worcester, MA 01655
Phone 508334100048862
Organizations & group practices 12
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.
-
- Internal Medicine Physician
- Worcester, MA
- NPI 1760445373
-
- Anesthesiology Physician
- West Hartford, CT
- NPI 1730674532
-
- Gastroenterology Physician
- Hartford, CT
- NPI 1023124625
-
- Anesthesiology Physician
- Shelton, CT
- NPI 1881636397
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- New Haven, CT
- NPI 1205822236
-
- General Acute Care Hospital
- Pittsfield, MA
- NPI 1295765261
-
- Internal Medicine Physician
- Peabody, MA
- NPI 1063447316
-
- Internal Medicine Physician
- Burlington, MA
- NPI 1538194980
-
- Durable Medical Equipment & Medical Supplies
- Fairfield, CT
- NPI 1548066962
-
- Community/Retail Pharmacy
- North Adams, MA
- NPI 1932649753
-
- Urgent Care Clinic/Center
- Oxford, MA
- NPI 1982381018
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Springfield, MA
- NPI 1043204316
-
- Rehabilitation Hospital Unit
- Springfield, MA
- NPI 1750360798
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630972800000",
"number": "1700254331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41 MALL RD",
"city": "BURLINGTON",
"state": "MA",
"postal_code": "018050001",
"telephone_number": "781-744-5808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 CEDAR ST # ST3",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065103206",
"telephone_number": "860-972-2797"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAPPLAN",
"first_name": "JACOB",
"middle_name": "A.",
"credential": "NURSE ANESTHESIST",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-09-14",
"last_updated": "2021-09-07",
"certification_date": "2021-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CT",
"license": "089214",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "CT",
"license": "089214",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MA",
"license": "RN2353222",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2021; 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.