BRIAN JACOBS (CRNA) – Certified Registered Nurse Anesthetist, NPI 1871995373

BRIAN JACOBS (CRNA) is a healthcare provider. based in Clive, Iowa. specializing in Certified Registered Nurse Anesthetist. They hold the professional credentials CRNA. They hold a License No. D125471 (IA). The NPI Number for BRIAN JACOBS (CRNA) is 1871995373

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
BRIAN JACOBS (CRNA)
NPI
1871995373
Phone
Not provided
Address
1646 NW 99TH CT
Enumeration Date
16 September 2014
Last Update Date
4 February 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5152635612
Graduation Year
2014 (12 years ago)
PAC ID
6709007131
Group Practice PAC ID
2264321652
Professional Enrollment ID
I20170803002883
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:11State licenses:1Digital endpointsOther names

Provider Addresses for BRIAN JACOBS (CRNA)

  • 1646 NW 99TH CT

    CLIVE, IA 503256754

    Phone:

    Type: Mailing

  • 800 S FILLMORE ST

    OSCEOLA, IA 502131619

    Phone: (515) 493-0195

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $748.

Total Amount is formed as General ($748) + Research ($0) + Ownership ($0) = $748.

Last reported payment date: 2024-10-14 • Largest payer in this snapshot: Abbott Laboratories ($456).

Total Amount

$748

General + Research + Ownership

Payments

10

Total payment records

General Amount

$748

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-14

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2017-09-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20170803002883ICertified Registered Nurse Anesthetist (Crna)IATBD
I20170908001484INurse PractitionerIATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 50325)

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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: 2264321652View full group profile

Reviews

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Frequently asked questions

What is the 10-digit NPI for BRIAN JACOBS (CRNA)?
BRIAN JACOBS (CRNA) — NPI 1871995373 — is the standard way to identify this listing.
Is BRIAN JACOBS (CRNA) listed as active for patients and plans?
The listing shows BRIAN JACOBS (CRNA) as active in the NPI system.
What is BRIAN JACOBS (CRNA) best known for clinically?
Directory data describes BRIAN JACOBS (CRNA) with Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What area does BRIAN JACOBS (CRNA) serve?
BRIAN JACOBS (CRNA)'s listing highlights Clive, Iowa; more addresses can appear in NPPES.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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