Brian Jacobs, CRNA

Key facts

NPI

1871995373

Entity type

Individual (NPI type 1)

Primary specialty

Certified Registered Nurse Anesthetist 367500000X

License

D125471 (IA)

Practice address

800 S Fillmore St
Osceola, IA 50213-1619

Phone

(515) 493-0195

NPI assigned

Sep 16, 2014

Sex

Male

Sole proprietor

No

Organizations & group practices 14

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.

• Audubon County Memorial Hospital Critical Access Hospital · Audubon, IA · NPI 1710951686
  Medicare reassignment NPD IA
• Grundy County Memorial Hospital Emergency Medicine Physician · Grundy Center, IA · NPI 1114012085
  Medicare reassignment NPD IA · NURSE ANESTHETIST, CERTIFIED REGISTERED
• Grundy County Memorial Hospital Critical Access Hospital · Grundy Center, IA · NPI 1821055989
  Medicare reassignment NPD IA
• Manning Regional Healthcare Center Critical Access Hospital · Manning, IA · NPI 1467509141
  Medicare reassignment NPD IA
• Ringgold County Hospital Emergency Care Clinic/Center · Mount Ayr, IA · NPI 1700935202
  Medicare reassignment NPD IA
• Ringgold County Hospital Critical Access Hospital · Mount Ayr, IA · NPI 1811046568
  Medicare reassignment NPD IA
• Trinity Regional Medical Center Emergency Medicine Physician · Fort Dodge, IA · NPI 1073594156
  Medicare reassignment NPD IA · NURSE ANESTHETIST, CERTIFIED REGISTERED
• Audubon County Memorial Hospital Emergency Medicine Physician · Audubon, IA · NPI 1730153420
  Medicare reassignment IA
• Grundy County Memorial Hospital Registered Dietitian · Grundy Center, IA · NPI 1689211146
  NPD
• Ringgold County Hospital Rural Health Clinic/Center · Mount Ayr, IA · NPI 1154720878
  NPD
• Ringgold County Hospital Critical Access Hospital Clinic/Center · Mount Ayr, IA · NPI 1992854434
  NPD
• St Luke'S Methodist Hospital General Acute Care Hospital · Cedar Rapids, IA · NPI 1083708226
  NPD
• Boone County Hospital Critical Access Hospital · Boone, IA · NPI 1467434225
  NPD (past)
• Clarke County Public Hospital Emergency Medicine Physician · Osceola, IA · NPI 1023045804
  NPD (past) NURSE ANESTHETIST, CERTIFIED REGISTERED

Medicare participation

Medicare fee-for-service enrollment

Enrolled (2 enrollments) in IA

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bjacobs14285@direct.unitypoint.org
• Direct secure messaging: bjacobs228128@uihcdirect.org

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 4, 2020.

{
    "created_epoch": "1410825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580774400000",
    "number": "1871995373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1646 NW 99TH CT",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503256754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 S FILLMORE ST",
            "city": "OSCEOLA",
            "state": "IA",
            "postal_code": "502131619",
            "telephone_number": "515-493-0195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "BRIAN",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-16",
        "last_updated": "2020-02-04",
        "certification_date": "2020-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IA",
            "license": "D125471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Osceola, IA

• Infinity Health
• Infinity Health
• Iowa Physicians Clinic Medical Foundation
• Iowa Physicians Clinic Medical Foundation
• Iowa Physicians Clinic Medical Foundation
• Julia C Jenkins, DO
• John W Meyer, DDS, P.C.
• Roger Erven Kentner, RPH
• Kerr Family Dental
• Derek Reid Kerr, D.D.S.

All providers in Osceola, IA · Certified Registered Nurse Anesthetist in Iowa