Active NPI
Jacob Mitchell Inman, CRNA
- Certified Registered Nurse Anesthetist
- Joplin, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 2024021083
- Practice address
- 1102 W 32ND St
Joplin, MO 64804-3594 - Phone
- (417) 347-1111
- NPI assigned
- Jun 14, 2024
- 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 | 2024021083 | MO | Primary |
Addresses
Primary practice location
1102 W 32ND St
Joplin, MO 64804-3594
Mailing address
13260 Loss LN
Carthage, MO 64836-5402
Phone (918) 402-5665
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240730002945 | MO | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 1850838632 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Freeman-Oak Hill Health System
Practice addresses (Care Compare)
1102 W 32 St
Joplin, MO 64804-3503
Phone (417) 347-4570
Hospital & facility affiliations
- Freeman Health System - Freeman West
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2024021083 | MO | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Freeman-Oak Hill Health System | Current | Accepting new patients |
Locations
811 W 34th St
Joplin, MO 64804
Phone (417) 622-4262
1102 W 32nd St
Joplin, MO 64804
Phone (417) 347-1078
932 E 34th St
Joplin, MO 64804
Phone (417) 347-7603
307 W 11th St
Lamar, MO 64759
Phone (417) 682-3300
113 W Hickory St
Neosho, MO 64850
Phone (417) 347-1078
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.
-
- Ambulance
- Anderson, MO
- NPI 1043252646
-
- Oxygen Equipment & Supplies (DME)
- Neosho, MO
- NPI 1063477800
-
- Psychiatric Hospital Unit
- Joplin, MO
- NPI 1073627584
-
- Rehabilitation Hospital Unit
- Joplin, MO
- NPI 1083728026
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Webb City, MO
- NPI 1114394228
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Joplin, MO
- NPI 1174637953
-
- Prosthetic/Orthotic Supplier
- Joplin, MO
- NPI 1194972869
-
- General Acute Care Hospital
- Joplin, MO
- NPI 1265546048
-
- Oxygen Equipment & Supplies (DME)
- Joplin, MO
- NPI 1396700621
-
- Home Health Agency
- Joplin, MO
- NPI 1407942220
-
- Community/Retail Pharmacy
- Neosho, MO
- NPI 1790743698
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Webb City, MO
- NPI 1114394228
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1718323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718323200000",
"number": "1982447355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13260 LOSS LN",
"city": "CARTHAGE",
"state": "MO",
"postal_code": "648365402",
"telephone_number": "918-402-5665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1102 W 32ND ST",
"city": "JOPLIN",
"state": "MO",
"postal_code": "648043594",
"telephone_number": "417-347-1111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "INMAN",
"first_name": "JACOB",
"middle_name": "MITCHELL",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-06-14",
"last_updated": "2024-06-14",
"certification_date": "2024-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MO",
"license": "2024021083",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Joplin, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2024; 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.