Mary Ann Jacobs, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

RN234981L Issued in PA

Practice address

740 E State St
740 E State Street
Sharon, PA 16146-3328

Phone

(724) 983-7310

Fax

(724) 983-2797

NPI assigned

Jul 5, 2006

Last updated

Mar 22, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

Practice roles

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.

• Pain Center of Western Pennsylvania, Inc

  • Pain Medicine (Anesthesiology) Physician
  • Hermitage, PA
  • NPI 1801804612
  NPD (past)
• Regional Anesthesia Associates

  • Specialist
  • Sharon, PA
  • NPI 1881639284
  NPD (past)
• Tower Anesthesia and Pain Solutions, Inc

  • Pain Medicine (Anesthesiology) Physician
  • Sharon, PA
  • NPI 1326119058
  NPD (past)

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553212800000",
    "number": "1770514085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4135 BOARDMAN CANFIELD RD",
            "address_2": "SUITE 101",
            "city": "CANFIELD",
            "state": "OH",
            "postal_code": "444069803",
            "telephone_number": "330-286-5330",
            "fax_number": "330-286-5396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 E STATE ST",
            "address_2": "740 E STATE STREET",
            "city": "SHARON",
            "state": "PA",
            "postal_code": "161463328",
            "telephone_number": "724-983-7310",
            "fax_number": "724-983-2797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "MARY",
        "middle_name": "ANN",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-05",
        "last_updated": "2019-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "RN234981L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2313491",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00755667",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "007666ZB29",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018937140001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000594284",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joan M. Humphrey, CRNP
• Richard F Humphrey, CRNP
• Vickie L Hutchinson, PSYCHOLOGIST PA
• Integrity Care LLC
• Elmarko Jackson
• Mayonta Jefferson, PHARMD
• Steven Lee Johnson
• Arlene Jones, CRNP
• Julie Zoe Joseph, RPH
• JZRX Inc (Medicine Shoppe)

• Certified Registered Nurse Anesthetist in Sharon, PA
• Providers in Sharon, PA by specialty
• Certified Registered Nurse Anesthetist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.