JAMES JACOB – Certified Registered Nurse Anesthetist, NPI 1164039855
Certified Registered Nurse Anesthetist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,475 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in NY
Provider Addresses for JAMES JACOB
10716 91ST ST
OZONE PARK, NY 114171421
Phone: (347) 255-5086
Type: Mailing
259 1ST ST
MINEOLA, NY 115013957
Phone: (516) 663-0333
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.
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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: 2021-04-06
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210406000999 | I | Certified Registered Nurse Anesthetist (Crna) | NY | 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 |
|---|---|---|---|---|
| 00731 | Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope | 25 | 25 | $0 |
| 00790 | Anesthesia for other procedure on upper abdomen | 17 | 17 | $0 |
| 01230 | Anesthesia for procedure on upper 2/3rd of thigh bone | 15 | 15 | $0 |
| 01402 | Anesthesia for procedure for total knee joint replacement | 13 | 13 | $0 |
| 00910 | Anesthesia for other procedure on urinary system through urethra | 11 | 11 | $0 |
Insurance plans in this area (ZIP 11417)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | NY | |
| Physician Assistant | NY | |
| H E M A T O L O G Y/ O N C O L O G Y | NY | |
| Nurse Practitioner | NY | |
| Orthopedic Surgery | NY | |
| Physician Assistant | NY | |
| Cardiovascular Disease (Cardiology), Internal Medicine | NY | |
| Nurse Practitioner | NY | |
| General Surgery | NY | |
| H E M A T O L O G Y/ O N C O L O G Y | NY |
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