Jacob J Briscoe, CRNA

Key facts

NPI

1972736551

Entity type

Individual (NPI type 1)

Primary specialty

Certified Registered Nurse Anesthetist 367500000X

License

2024007928 (MO)

Practice address

3100 Oak Grove Rd
Poplar Bluff, MO 63901-1573

Phone

(573) 776-2000

NPI assigned

Aug 28, 2009

Sex

Male

Sole proprietor

Yes

Organizations & group practices 13

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.

• Medical Center Anesthesia Inc. Anesthesiology Physician · Jackson, TN · NPI 1447591730
  Medicare reassignment Care Compare group NPD NURSE ANESTHETIST, CERTIFIED REGISTERED · TN
• Mississippi County Hospital System Emergency Medicine Physician · Blytheville, AR · NPI 1164720868
  Medicare reassignment Care Compare group NPD AR
• Mississippi County Hospital System Anesthesiology Physician · Blytheville, AR · NPI 1376844878
  Medicare reassignment Care Compare group NPD AR · NURSE ANESTHETIST, CERTIFIED REGISTERED
• Rural Health Pain Management LLC Pain Medicine (Anesthesiology) Physician · Forrest City, AR · NPI 1265039556
  Medicare reassignment Care Compare group NPD AR · MO · TN
• Capital Anesthesia Solutions of Missouri, LLC Anesthesiology Physician · Rombauer, MO · NPI 1770185472
  Medicare reassignment NPD MO
• Kentenn Anesthesia Certified Registered Nurse Anesthetist · Union City, TN · NPI 1346511011
  Medicare reassignment NPD NURSE ANESTHETIST, CERTIFIED REGISTERED · TN
• Northstar Anesthesia of Tennessee, PLLC Anesthesiology Physician · McMinnville, TN · NPI 1821390451
  Medicare reassignment NPD TN
• Piggott Community Hospital Emergency Medical Services (Emergency Medicine) Physician · Piggott, AR · NPI 1871555185
  Medicare reassignment NPD AR
• Piggott Community Hospital Critical Access Hospital · Piggott, AR · NPI 1891781837
  Medicare reassignment NPD AR
• Mississippi County Hospital System Rural Health Clinic/Center · Osceola, AR · NPI 1073129755
  Care Compare group
• Mississippi County Hospital System General Acute Care Hospital · Blytheville, AR · NPI 1316180748
  Care Compare group
• Mississippi County Hospital System Rural Health Clinic/Center · Blytheville, AR · NPI 1669089462
  Care Compare group
• Mississippi County Hospital System Rural Health Clinic/Center · Blytheville, AR · NPI 1124634738
  NPD

Hospital & facility affiliations 5

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

• Arkansas Methodist Hospital Corporation General Acute Care Hospital · Paragould, AR · NPI 1437222312
  Care Compare affiliation Hospital
• Martin Health General Acute Care Hospital · Martin, TN · NPI 1275505372
  Care Compare affiliation Hospital
• Milan General Hospital, Inc. General Acute Care Hospital · Milan, TN · NPI 1699765453
  Care Compare affiliation Hospital
• Mississippi County Hospital System General Acute Care Hospital · Blytheville, AR · NPI 1316180748
  Care Compare affiliation Hospital
• Piggott Community Hospital Critical Access Hospital · Piggott, AR · NPI 1891781837
  Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mississippi County Hospital System (17 clinicians)
Rural Health Pain Management LLC (35 clinicians)
Medical Center Anesthesia, Inc (107 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• Arkansas Methodist Medical Center Hospital · Paragould, AR · CCN 040039
• Great River Medical Center Hospital · Blytheville, AR · CCN 040069
• Volunteer Community Hospital Hospital · Martin, TN · CCN 440061
• Piggott Community Hospital Hospital · Piggott, AR · CCN 041330
• West Tennessee Healthcare Milan Hospital Hospital · Milan, TN · CCN 440060

Merit-based Incentive Payment System (MIPS)

Final score

82.74 of 100 (group)

Quality

65.48

Improvement activities

40

Medicare participation

Medicare fee-for-service enrollment

Enrolled (3 enrollments) in TN, MO, AR

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jacob.briscoe.2@15274.direct.athenahealth.com

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 9, 2024.

{
    "created_epoch": "1251417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725840000000",
    "number": "1972736551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 HAMER RD",
            "city": "DYERSBURG",
            "state": "TN",
            "postal_code": "380246908",
            "telephone_number": "309-210-6650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 OAK GROVE RD",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639011573",
            "telephone_number": "573-776-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRISCOE",
        "first_name": "JACOB",
        "middle_name": "J",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-08-28",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IL",
            "license": "041341872",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IL",
            "license": "209007627",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MO",
            "license": "2024007928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Poplar Bluff, MO · Certified Registered Nurse Anesthetist in Missouri