JAKE CHRIS CHANG – Certified Registered Nurse Anesthetist, NPI 1700062726
Certified Registered Nurse Anesthetist
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Profile Insights
NPPES metrics only — not quality of care.
1,371 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in KY
Provider Addresses for JAKE CHRIS CHANG
530 S JACKSON ST RM C2A03
LOUISVILLE, KY 402021675
Phone: (502) 852-5851
Type: Mailing
PO BOX 38
CORYDON, IN 471120038
Phone: (812) 738-4251
Type: Mailing
1141 HOSPITAL DR NW
CORYDON, IN 471122164
Phone: (812) 738-4251
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: 2011-04-28
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20080417000367 | I | Certified Registered Nurse Anesthetist (Crna) | KY | TBD |
| I20110428000157 | I | Certified Registered Nurse Anesthetist (Crna) | IN | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 00811 | Anesthesia for other procedure on large bowel using an endoscope | 37 | 37 | $0 |
| 00812 | Anesthesia for exam of colon using an endoscope | 12 | 12 | $0 |
| 00813 | Anesthesia for procedure on small and large bowel using an endoscope | 12 | 12 | $0 |
| 00731 | Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope | 11 | 11 | $0 |
Insurance plans in this area (ZIP 40202)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | KY | |
| Certified Registered Nurse Anesthetist (Crna) | KY | |
| Anesthesiology, Pain Management | KY | |
| Certified Registered Nurse Anesthetist (Crna) | KY | |
| Certified Registered Nurse Anesthetist (Crna) | KY | |
| Certified Registered Nurse Anesthetist (Crna) | MN |
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