JACOB SCHRADER (CRNA) – Certified Registered Nurse Anesthetist, NPI 1780314179

JACOB SCHRADER (CRNA) is a healthcare provider. based in Rogersville, Missouri. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 138671 (MO). The NPI Number for JACOB SCHRADER (CRNA) is 1780314179

Main info

Male
4 Years Of Experience
Accepts Medicare Assignment
Name
JACOB SCHRADER (CRNA)
NPI
1780314179
Phone
(417) 224-7394
Address
4691 S FARM ROAD 213
Enumeration Date
16 June 2022
Last Update Date
16 June 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4173266000
Graduation Year
2022 (4 years ago)
PAC ID
0547631764
Group Practice PAC ID
2769574433
Professional Enrollment ID
I20230126002701
Address ID
MO656133011BO1500XAVEX405
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

1,775 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in MO

Provider Addresses for JACOB SCHRADER (CRNA)

  • 4691 S FARM ROAD 213

    ROGERSVILLE, MO 657429266

    Phone: (417) 224-7394

    Type: Mailing

  • 1500 N OAKLAND AVE

    BOLIVAR, MO 656133011

    Phone: (417) 326-6000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $24.

Total Amount is formed as General ($24) + Research ($0) + Ownership ($0) = $24.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($24).

Total Amount

$24

General + Research + Ownership

Payments

1

Total payment records

General Amount

$24

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Merck Sharp & Dohme LLC$24
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: 2023-01-26

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
I20230126002701ICertified 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
00811Anesthesia for other procedure on large bowel using an endoscope2422$0
00142Anesthesia for lens surgery1413$0
View full utilization report →

Insurance plans in this area (ZIP 65742)

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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: 2769574433View full group profile
NameSpecialtyState
Emergency MedicineMO
P A T H O L O G YHI
-MO
Certified Registered Nurse Anesthetist (Crna)MO
P A T H O L O G YMN
Interventional Pain Management, AnesthesiologyNM
Emergency MedicineMO
-MO
Certified Registered Nurse Anesthetist (Crna)MO
Certified Registered Nurse Anesthetist (Crna)MO

Reviews

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Frequently asked questions

What is the 10-digit NPI for JACOB SCHRADER (CRNA)?
JACOB SCHRADER (CRNA) — NPI 1780314179 — is the standard way to identify this listing.
Does the file indicate JACOB SCHRADER (CRNA) is practicing under active NPI?
Directory data currently reports JACOB SCHRADER (CRNA) as active.
What is JACOB SCHRADER (CRNA)'s specialty?
The listing groups JACOB SCHRADER (CRNA) with Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What area does JACOB SCHRADER (CRNA) serve?
JACOB SCHRADER (CRNA)'s listing highlights Rogersville, Missouri; more addresses can appear in NPPES.
Is the information about JACOB SCHRADER (CRNA) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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