JACOB J BRISCOE (CRNA) – Certified Registered Nurse Anesthetist, NPI 1972736551
Certified Registered Nurse Anesthetist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,775 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in MO
Provider Addresses for JACOB J BRISCOE (CRNA)
1201 HAMER RD
DYERSBURG, TN 380246908
Phone: (309) 210-6650
Type: Mailing
3100 OAK GROVE RD
POPLAR BLUFF, MO 639011573
Phone: (573) 776-2000
Type: Location
OSF Saint Mary Medical Center, 3333, North Seminary Street, Galesburg, Knox County, Illinois, 61401, United States
GALESBURG, IL 614011251
Phone: (309) 344-3161
Fax: (309) 344-9498
Type: Mailing
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: 2025-07-15
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20170811003030 | I | Certified Registered Nurse Anesthetist (Crna) | TN | TBD |
| I20240326002195 | I | Certified Registered Nurse Anesthetist (Crna) | MO | TBD |
| I20250715004377 | I | Certified Registered Nurse Anesthetist (Crna) | AR | 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 |
|---|---|---|---|---|
| 00812 | Anesthesia for exam of colon using an endoscope | 39 | 39 | $0 |
| 00813 | Anesthesia for procedure on small and large bowel using an endoscope | 29 | 29 | $0 |
| 00811 | Anesthesia for other procedure on large bowel using an endoscope | 20 | 20 | $0 |
| 00731 | Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope | 19 | 19 | $0 |
| 00910 | Anesthesia for other procedure on urinary system through urethra | 18 | 17 | $0 |
Insurance plans in this area (ZIP 38024)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| CERTIFIED REGISTERED NURSE ANESTHET | IL | 01402 | Anesthesia for open or endoscopic total knee joint replacement | 12 | 12 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | TN | |
| Certified Registered Nurse Anesthetist (Crna) | MO | |
| Certified Registered Nurse Anesthetist (Crna) | TX | |
| Certified Registered Nurse Anesthetist (Crna) | MO | |
| Certified Registered Nurse Anesthetist (Crna) | AR | |
| Certified Registered Nurse Anesthetist (Crna) | MO | |
| Certified Registered Nurse Anesthetist (Crna) | TN | |
| Certified Registered Nurse Anesthetist (Crna) | MO | |
| Certified Registered Nurse Anesthetist (Crna) | TN | |
| Anesthesiology, Interventional Pain Management | MO |
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