Jacob Palmer, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

113241 Issued in OK

Practice address

1012 14TH Ave NW
Ardmore, OK 73401-1807

Phone

(580) 226-1251

Fax

(580) 226-1254

NPI assigned

Sep 17, 2019

Sex

Male

Sole proprietor

Yes

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 OK

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Duncan Anesthesia Associates IncGroup PAC ID 7719984590, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Duncan Regional Hospital, Inc Hospital, Duncan, OK, CCN 370023
• Jackson County Memorial Hospital Authority Hospital, Altus, OK, CCN 370022
• Jefferson County Hospital Hospital, Waurika, OK, CCN 371311

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

Practice roles

Locations

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.

• Duncan Anesthesia Associates Inc

  • Certified Registered Nurse Anesthetist
  • Duncan, OK
  • NPI 1205897410

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Jackson County Memorial Hospital Authority

  • General Acute Care Hospital
  • Altus, OK
  • NPI 1093763781
  NPD
• Jackson County Memorial Hospital Authority

  • Critical Access Hospital
  • Hollis, OK
  • NPI 1295735991
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Duncan Regional Hospital Inc

  • Critical Access Hospital
  • Waurika, OK
  • NPI 1518405331
  Care Compare affiliation
• Duncan Regional Hospital Inc

  • Rural Health Clinic/Center
  • Ryan, OK
  • NPI 1699211474

  Hospital

  Care Compare affiliation
• Duncan Regional Hospital Inc

  • Rural Health Clinic/Center
  • Ringling, OK
  • NPI 1700323870

  Hospital

  Care Compare affiliation
• Duncan Regional Hospital, Inc

  • Rural Health Clinic/Center
  • Duncan, OK
  • NPI 1902347651

  Hospital

  Care Compare affiliation
• Duncan Regional Hospital, Inc,

  • Rural Health Clinic/Center
  • Comanche, OK
  • NPI 1528509163

  Hospital

  Care Compare affiliation
• Duncan Regional Hospital, Inc.

  • Rural Health Clinic/Center
  • Velma, OK
  • NPI 1124569744

  Hospital

  Care Compare affiliation
• Duncan Regional Hospital, Inc.

  • Rural Health Clinic/Center
  • Duncan, OK
  • NPI 1164963708

  Hospital

  Care Compare affiliation
• Duncan Regional Hospital, Inc.

  • Rural Health Clinic/Center
  • Duncan, OK
  • NPI 1609317247

  Hospital

  Care Compare affiliation
• Duncan Regional Hospital, Inc.

  • Rural Acute Care Hospital
  • Duncan, OK
  • NPI 1851396394
  Care Compare affiliation
• Jackson County Memorial Hospital Authority

  • General Acute Care Hospital
  • Altus, OK
  • NPI 1093763781
  Care Compare affiliation

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

{
    "created_epoch": "1568678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568678400000",
    "number": "1881244341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1012 14TH AVE NW",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734011807",
            "telephone_number": "580-226-1251",
            "fax_number": "580-226-1254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 14TH AVE NW",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734011807",
            "telephone_number": "580-226-1251",
            "fax_number": "580-226-1254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER",
        "first_name": "JACOB",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-09-17",
        "last_updated": "2019-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OK",
            "license": "113241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Curtis Ray Owen, M.ED.
• Tracie Owen
• Kenna R Owens
• Rick L Owens Jr.
• Ashli Page
• Bidhya Pandey
• Leigh Ann Papin, MSW
• Thomas A Papin, MD
• Evelyn Deloris Parenteau, PHARMD
• John Yung Park, D.O.

• Certified Registered Nurse Anesthetist in Ardmore, OK
• Providers in Ardmore, OK by specialty
• Certified Registered Nurse Anesthetist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2019; 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.