Active NPI
Jacob Elijah Good, DNP, CRNA
- Certified Registered Nurse Anesthetist
- Sierra Vista, AZ
National Provider Identifier
1952268617
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 1-184390
- Practice address
- 5700 Az-90
Sierra Vista, AZ 85635 - Phone
- (520) 263-2000
- NPI assigned
- Jan 6, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 1-184390 | AL | Primary |
Addresses
Primary practice location
5700 Az-90
Sierra Vista, AZ 85635
Mailing address
64 Hayes St
Thorsby, AL 35171-7546
Phone (205) 688-6354
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5700 E Hwy 90
Sierra Vista, AZ 85635-9110
Phone (520) 263-3835
Hospital & facility affiliations
- Canyon Vista Medical Center
- Western Arizona Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-184390 | AL | MD | Certified Registered Nurse Anesthetist |
Organizations & group practices 1
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.
-
- Anesthesiology Physician
- Sierra Vista, AZ
- NPI 1487956504
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bullhead City, AZ
- NPI 1255302766
-
- Urgent Care Clinic/Center
- Bullhead City, AZ
- NPI 1780996223
Hospital
-
- General Acute Care Hospital
- Sierra Vista, AZ
- NPI 1194766543
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1767657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767657600000",
"number": "1952268617",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "64 HAYES ST",
"city": "THORSBY",
"state": "AL",
"postal_code": "351717546",
"telephone_number": "205-688-6354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5700 AZ-90",
"city": "SIERRA VISTA",
"state": "AZ",
"postal_code": "85635",
"telephone_number": "520-263-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOOD",
"first_name": "JACOB",
"middle_name": "ELIJAH",
"name_prefix": "Dr.",
"credential": "DNP, CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-01-06",
"last_updated": "2026-01-06",
"certification_date": "2026-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "AL",
"license": "1-184390",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sierra Vista, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2026; 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.