DR. JARED T HOLTON (CRNA) – Certified Registered Nurse Anesthetist, NPI 1194210393

DR. JARED T HOLTON (CRNA) is a healthcare provider. based in Edwardsville, Illinois. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 209.017838 (IL). The NPI Number for DR. JARED T HOLTON (CRNA) is 1194210393

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
DR. JARED T HOLTON (CRNA)
NPI
1194210393
Phone
(618) 971-7919
Address
1130 CENTURY DR STE E
Enumeration Date
29 June 2018
Last Update Date
29 June 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3144341500
Graduation Year
2018 (8 years ago)
PAC ID
8729337126
Group Practice PAC ID
5799698551
Professional Enrollment ID
I20210817001773
Address ID
MO630173406CH232XXRDXX500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:7State licenses:1Digital endpointsOther names

2,265 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in IL

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Provider Addresses for DR. JARED T HOLTON (CRNA)

  • Century Drive, Edwardsville, Madison County, Illinois, 62026, United States

    EDWARDSVILLE, IL 620253699

    Phone: (618) 971-7919

    Type: Mailing

  • Anderson Hospital, 6800, State Route 162, Maryville, Madison County, Illinois, 62062, United States

    MARYVILLE, IL 620628500

    Phone: (800) 281-3903

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-08-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210817001773ICertified Registered Nurse Anesthetist (Crna)MOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
01402Anesthesia for procedure for total knee joint replacement2424$0
01922Anesthesia for x-ray or radiation therapy1616$0
01214Anesthesia for total hip replacement1414$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope1111$0
View full utilization report →

Insurance plans in this area (ZIP 62025)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5799698551View full group profile
NameSpecialtyState
-MO
Certified Registered Nurse Anesthetist (Crna)MO
-MO
A N E S T H E S I O L O G YIL
Certified Registered Nurse Anesthetist (Crna)MO
A N E S T H E S I O L O G YMI
-MO
Certified Registered Nurse Anesthetist (Crna)IL
-MO
-MO

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Frequently asked questions

Does DR. JARED T HOLTON (CRNA) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. JARED T HOLTON (CRNA) uses 1194210393.
Is DR. JARED T HOLTON (CRNA) listed as active for patients and plans?
The listing shows DR. JARED T HOLTON (CRNA) as active in the NPI system.
What is DR. JARED T HOLTON (CRNA)'s primary classification?
Certified Registered Nurse Anesthetist is the headline specialty for DR. JARED T HOLTON (CRNA) here. Clinical services aligned with this taxonomy classification.
What area does DR. JARED T HOLTON (CRNA) serve?
DR. JARED T HOLTON (CRNA)'s listing highlights Edwardsville, Illinois; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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