JACOB MATTHEW MILLER (CRNA) – Certified Registered Nurse Anesthetist, NPI 1992110498
Certified Registered Nurse Anesthetist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
522 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in IA
Provider Addresses for JACOB MATTHEW MILLER (CRNA)
2405 N DAKOTA AVE
AMES, IA 500149019
Phone: (515) 468-2427
Type: Mailing
1316 S MAIN ST
CLARION, IA 505252019
Phone: (515) 532-2811
Fax: (515) 532-9336
Type: Location
400 Main St
Ames, IA 500106487
Phone: (515) 468-2427
Type: Location
15820 Shaddock Dr Ste 130
Winter Garden, FL 347875776
Phone: (515) 468-2427
Fax: (515) 598-7610
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 13 Open Payments records for all available years, with a total value of $1,229.
Total Amount is formed as General ($1,229) + Research ($0) + Ownership ($0) = $1,229.
Last reported payment date: 2024-09-20 • Largest payer in this snapshot: Avanos Medical ($1,076).
Total Amount
$1,229
General + Research + Ownership
Payments
13
Total payment records
General Amount
$1,229
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Avanos Medical | $1,076 |
| ABBVIE INC. | $76 |
| Teva Pharmaceuticals USA, Inc. | $46 |
| Lundbeck LLC | $15 |
| Abbott Laboratories | $15 |
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: 2021-11-08
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20150210000259 | I | Certified Registered Nurse Anesthetist (Crna) | KS | TBD |
| I20160324001113 | I | Certified Registered Nurse Anesthetist (Crna) | IA | TBD |
| I20211108000793 | I | Certified Registered Nurse Anesthetist (Crna) | CO | TBD |
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.
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 50014)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | IA | |
| Family Practice | IA | |
| General Surgery | WA | |
| Nurse Practitioner | IA | |
| Family Practice | IA | |
| Family Practice | IA | |
| Family Practice | IA | |
| Physician Assistant | IA | |
| - | IA | |
| Nurse Practitioner | IA |
Reviews
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