MR. JACOB D III CLICK (C.R.N.A.) – Certified Registered Nurse Anesthetist, NPI 1760484695

Certified Registered Nurse Anesthetist

MR. JACOB D III CLICK (C.R.N.A.) is a healthcare provider. based in Canton, Ohio. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials C.R.N.A.. They hold a License No. APRN.CRNA.07141 (OH). The NPI Number for MR. JACOB D III CLICK (C.R.N.A.) is 1760484695

Main info

Male

Sole Proprietor

24 Years Of Experience

Accepts Medicare Assignment

Name

MR. JACOB D III CLICK (C.R.N.A.)

NPI

1760484695

Phone

(330) 493-0228

Address

3888 CROYDON DR NW

Enumeration Date

11 August 2005

Last Update Date

13 February 2025

Doctor Profile

Medical School Name

OTHER

Secondary Phone

3306494214

Graduation Year

2002 (24 years ago)

PAC ID

2860469640

Group Practice PAC ID

3971971060

Professional Enrollment ID

I20040912000002

Address ID

OH447182531CA4151XNWXX400

Contacts

Secure Messaging

Jacob.Click@direct.aultman.org

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience64

Completeness85

Years active:20State licenses:1Other namesUpdated within 12 months

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

Loading map...

Provider Addresses for MR. JACOB D III CLICK (C.R.N.A.)

3888 CROYDON DR NW
CANTON, OH 447183230
Phone: (330) 493-0228
Fax: (330) 493-0228
Type: Mailing
Southeastern Med Hospital, 1341, Clark Street, Wheeling Avenue Historic District, Cambridge, Guernsey County, Ohio, 43725, United States
CAMBRIDGE, OH 43725
Phone: (740) 439-8000
Type: Location
7630 Southern Blvd
Youngstown, OH 445125633
Phone: (330) 729-8000
Fax: (330) 729-8084
Type: Location
1341 Clark St
Cambridge, OH 43725
Phone: (740) 439-8000
Type: Location
250 Debartolo Pl Ste 1000
Youngstown, OH 445126090
Phone: (330) 729-8000
Fax: (330) 729-8084
Type: Location
PO BOX 80690
CANTON, OH 447080690
Phone: (330) 363-7444
Fax: (330) 363-7770
Type: Mailing
2600 6TH ST SW
CANTON, OH 447101702
Phone: (330) 363-7462
Fax: (330) 363-7679
Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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: 2013-08-08

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

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
I20040912000002	I	Certified Registered Nurse Anesthetist (Crna)	OH	TBD
I20130808000667	I	Certified Registered Nurse Anesthetist (Crna)	TX	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.

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

HCPCS	Description	Services	Beneficiaries	Medicare allowed
01402	Anesthesia for procedure for total knee joint replacement	12	12	$0

View full utilization report →

Insurance plans in this area (ZIP 44718)

Loading plans...

Provider's Procedures

MR. JACOB D III CLICK (C.R.N.A.) performs procedures in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). See the list of HCPCS codes below.

Specialty	Practice State	HCPCS Code	Description	Service Count	Beneficiary Count
CERTIFIED REGISTERED NURSE ANESTHET	OH	36620	Insertion of arterial catheter for blood sampling or infusion, accessed through the skin	11	11

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: 3971971060View full group profile

Name	Specialty	State
STACI DAWN MARTIN (CRNA)	Certified Registered Nurse Anesthetist (Crna)	OH

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is MR. JACOB D III CLICK (C.R.N.A.)'s NPI number?

MR. JACOB D III CLICK (C.R.N.A.)'s NPI is 1760484695 — the number used across U.S. healthcare to identify this provider.

Would MR. JACOB D III CLICK (C.R.N.A.) appear as active to a payer?

You can treat MR. JACOB D III CLICK (C.R.N.A.) as active for directory purposes; confirm clinical privileges separately.

What area of care is associated with MR. JACOB D III CLICK (C.R.N.A.)?

MR. JACOB D III CLICK (C.R.N.A.)'s record emphasizes Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.

Where in Ohio is MR. JACOB D III CLICK (C.R.N.A.) registered?

Use Canton, Ohio as the headline location for MR. JACOB D III CLICK (C.R.N.A.) here.

Does MR. JACOB D III CLICK (C.R.N.A.) accept insurance?

Insurance participation is not part of the core NPI extract — call the plan or office to confirm.