Brian Jacobs, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

D125471 Issued in IA

Practice address

800 S Fillmore St
Osceola, IA 50213-1619

Phone

(515) 493-0195

NPI assigned

Sep 16, 2014

Last updated

Feb 4, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

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

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.

• Audubon County Memorial Hospital

  • Critical Access Hospital
  • Audubon, IA
  • NPI 1710951686
  Medicare reassignment NPD
• Grundy County Memorial Hospital

  dba GCMH Professional Services

  • Emergency Medicine Physician
  • Grundy Center, IA
  • NPI 1114012085

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Grundy County Memorial Hospital

  • Critical Access Hospital
  • Grundy Center, IA
  • NPI 1821055989
  Medicare reassignment NPD
• Manning Regional Healthcare Center

  • Critical Access Hospital
  • Manning, IA
  • NPI 1467509141
  Medicare reassignment NPD
• Ringgold County Hospital

  dba Spectrum Emergency Care

  • Emergency Care Clinic/Center
  • Mount Ayr, IA
  • NPI 1700935202
  Medicare reassignment NPD
• Ringgold County Hospital

  • Critical Access Hospital
  • Mount Ayr, IA
  • NPI 1811046568
  Medicare reassignment NPD
• Trinity Regional Medical Center

  dba UnityPoint Clinic

  • Emergency Medicine Physician
  • Fort Dodge, IA
  • NPI 1073594156

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Audubon County Memorial Hospital

  • Emergency Medicine Physician
  • Audubon, IA
  • NPI 1730153420
  Medicare reassignment
• Grundy County Memorial Hospital

  • Registered Dietitian
  • Grundy Center, IA
  • NPI 1689211146
  NPD
• Ringgold County Hospital

  dba Mount Ayr Medical Clinic

  • Rural Health Clinic/Center
  • Mount Ayr, IA
  • NPI 1154720878
  NPD
• Ringgold County Hospital

  dba Mount Ayr Medical Clinic

  • 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

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

{
    "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": []
}

• Infinity Health
• Infinity Health
• Iowa Physicians Clinic Medical Foundation
• Iowa Physicians Clinic Medical Foundation (Unity Point Clinic-Family Medicine-Clarke County)
• Iowa Physicians Clinic Medical Foundation
• Julia C Jenkins, DO
• John W Meyer, DDS, P.C. (Clarke County Dental Health Center)
• Roger Erven Kentner, RPH
• Kerr Family Dental
• Derek Reid Kerr, D.D.S.

• Certified Registered Nurse Anesthetist in Osceola, IA
• Providers in Osceola, IA by specialty
• Certified Registered Nurse Anesthetist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.