MR. JACOB NICHOLAS MUSTAR – Certified Registered Nurse Anesthetist, NPI 1184222812

MR. JACOB NICHOLAS MUSTAR is a healthcare provider. based in Northfield, Ohio. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold a License No. 382581 (OH). The NPI Number for MR. JACOB NICHOLAS MUSTAR is 1184222812

Main info

Male
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
MR. JACOB NICHOLAS MUSTAR
NPI
1184222812
Phone
(330) 998-4387
Address
7640 MEADOW BROOKE WAY
Enumeration Date
14 October 2020
Last Update Date
24 February 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4403500832
Graduation Year
2020 (6 years ago)
PAC ID
0042625956
Group Practice PAC ID
9537222138
Professional Enrollment ID
I20210225003273
Address ID
OH443338358AK3557XPKWY300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:5State licenses:2Digital endpointsOther names

3,016 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in OH

Provider Addresses for MR. JACOB NICHOLAS MUSTAR

  • 7640 MEADOW BROOKE WAY

    NORTHFIELD, OH 440674004

    Phone: (330) 998-4387

    Type: Mailing

  • 444 N MAIN ST

    AKRON, OH 443103110

    Phone: (330) 762-2262

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $34.

Total Amount is formed as General ($34) + Research ($0) + Ownership ($0) = $34.

Last reported payment date: 2023-06-27 • Largest payer in this snapshot: Pacira Pharmaceuticals Incorporated ($18).

Total Amount

$34

General + Research + Ownership

Payments

2

Total payment records

General Amount

$34

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-06-27

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2021-02-25

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
I20210225003273ICertified Registered Nurse Anesthetist (Crna)OHTBD

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
64447Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve)6464$0
64415Injection of anesthetic agent and/or steroid into arm nerve bundle (brachial plexus)2929$0
01402Anesthesia for procedure for total knee joint replacement2525$0
01214Anesthesia for total hip replacement2222$0
64420Injection of anesthetic agent and/or steroid into rib nerve1919$0
View full utilization report →

Insurance plans in this area (ZIP 44067)

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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: 9537222138View full group profile
NameSpecialtyState
Anesthesiology AssistantOH
Certified Registered Nurse Anesthetist (Crna)OH
Anesthesiology AssistantOH
-OH
Certified Registered Nurse Anesthetist (Crna)WV
Certified Registered Nurse Anesthetist (Crna)OH
-OH
Certified Registered Nurse Anesthetist (Crna)OH
Certified Registered Nurse Anesthetist (Crna)OH
Certified Registered Nurse Anesthetist (Crna)OH

Reviews

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Frequently asked questions

What is the standard ID for MR. JACOB NICHOLAS MUSTAR in the U.S.?
In the U.S., MR. JACOB NICHOLAS MUSTAR is identified by NPI 1184222812.
Is MR. JACOB NICHOLAS MUSTAR's NPI status active today?
Active status means MR. JACOB NICHOLAS MUSTAR's NPI record is not deactivated in the public file.
How should patients interpret MR. JACOB NICHOLAS MUSTAR's specialty?
The extract shows Certified Registered Nurse Anesthetist for MR. JACOB NICHOLAS MUSTAR. Clinical services aligned with this taxonomy classification.
Is MR. JACOB NICHOLAS MUSTAR tied to Northfield, Ohio?
If you are local to Northfield, Ohio, MR. JACOB NICHOLAS MUSTAR may be relevant to your search.
Can I export MR. JACOB NICHOLAS MUSTAR's record?
You can download the official NPPES record; we summarize key fields for readability.

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