Individual provider Active NPI

Jacob Szajkowski, CRNA

  • Certified Registered Nurse Anesthetist
  • Eagle River, AK
National Provider Identifier
1841754983
Registry record updated Apr 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
150214 Issued in AK
Practice address
30258 Eklund Ave
Eagle River, AK 99577-9707
Phone
(970) 692-7911
NPI assigned
Jan 23, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 150214 AK Primary

Addresses

Primary practice location

30258 Eklund Ave
Eagle River, AK 99577-9707

Mailing address

30258 Eklund Ave
Eagle River, AK 99577-9707
Phone (970) 692-7911

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND, AK, CO3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20190506000553 ND Practitioner - Certified Registered Nurse Anesthetist (Crna) 4486996865 Reassigns benefits to 2 organizations
I20201105001579 AK Practitioner - Certified Registered Nurse Anesthetist (Crna) 4486996865 Reassigns benefits to 6 organizations
I20230314001239 CO Practitioner - Certified Registered Nurse Anesthetist (Crna) 4486996865

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Providence Anchorage Anesthesia Medical Group PCGroup PAC ID 2163414830, 52 clinicians

Practice addresses (Care Compare)

3300 Providence Dr
Suite 207
Anchorage, AK 99508-4620
Phone (907) 561-0005

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
150214AKMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
St Alexius Medical Center CurrentSince Mar 13, 2019 Accepting new patients
701 Anesthesia Associates, PLLC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2020 Accepting new patients
Providence Anchorage Anesthesia Medical Group, P.C. CurrentSince Oct 1, 2021 Accepting new patients
Providence Health & Services Washington CurrentSince Jul 2, 2023 Accepting new patients
City of Valdez CurrentSince Mar 6, 2024 Accepting new patients
Anesthesia Care Associates, PC CurrentSince Aug 22, 2024 Accepting new patients
Chugach Anesthesia, LLC CurrentSince Dec 1, 2020 Accepting new patients
St. Alexius Medical Center CurrentSince Mar 13, 2019 Accepting new patients
Mat Su Valley Medical Center LLC Current Accepting new patients
Mat-Su Valley Medical Center LLC CurrentSince Oct 1, 2024 Accepting new patients
Providence Health & Services - Washington CurrentSince Jul 2, 2023 Accepting new patients
Northern Lights Anesthesia LLC CurrentSince Apr 1, 2024 Accepting new patients
Alaska Spine Center, LLC Past Accepting new patients
University Hospitals Medical Group Inc PastSince Oct 1, 2021 Accepting new patients
Mat Su Valley Medical Center LLC Past Accepting new patients

Locations

3200 Providence Dr
Anchorage, AK 99508
Phone (907) 261-3111

3300 Providence Dr
Ste 207
Anchorage, AK 99508
Phone (907) 279-0555

4100 Lake Otis Pkwy
Ste 212
Anchorage, AK 99508
Phone (907) 550-6100

1915 E Rezanof Dr
Kodiak, AK 99615
Phone (907) 486-3281

2500 S Woodworth Loop
Palmer, AK 99645
Phone (907) 861-6000

1901 N Hemmer Rd
Apt 111
Palmer, AK 99645
Phone (907) 745-8000

1150 S Colony Way
Palmer, AK 99645
Phone (907) 715-6300

911 Meals Ave
Valdez, AK 99686
Phone (907) 835-2249

950 E Bogard Rd
Wasilla, AK 99654
Phone (907) 352-2880

14700 28th Ave N
Ste 20
Plymouth, MN 55447
Phone (612) 559-3779

400 10th St E
Waconia, MN 55387

401 N 9th St
Bismarck, ND 58501
Phone (701) 530-6000

900 E Broadway Ave
Bismarck, ND 58501
Phone (701) 530-7300

Organizations & group practices 15

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.

View all 15

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": "1548201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712016000000",
    "number": "1841754983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30258 EKLUND AVE",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995779707",
            "telephone_number": "970-692-7911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30258 EKLUND AVE",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995779707",
            "telephone_number": "970-692-7911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SZAJKOWSKI",
        "first_name": "JACOB",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-01-23",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AK",
            "license": "150214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagle River, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2024; 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.