MR. JACOB D BAKER (CRNA) – Certified Registered Nurse Anesthetist, NPI 1093775595

MR. JACOB D BAKER (CRNA) is a healthcare provider. based in Irving, Texas. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 692551 (TX). The NPI Number for MR. JACOB D BAKER (CRNA) is 1093775595

Main info

Male
22 Years Of Experience
Accepts Medicare Assignment
Name
MR. JACOB D BAKER (CRNA)
NPI
1093775595
Phone
(972) 714-0007
Address
5605 N. MACARTHUR BOULEVARD
Enumeration Date
27 March 2006
Last Update Date
3 July 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2004 (22 years ago)
PAC ID
8628022449
Group Practice PAC ID
1355254210
Professional Enrollment ID
I20050304000191
Address ID
TX761044110FO1400XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

5,279 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in TX

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Provider Addresses for MR. JACOB D BAKER (CRNA)

  • 5605, North MacArthur Boulevard, Las Colinas, Irving, Dallas County, Texas, 75038, United States

    SUITE 220

    IRVING, TX 75038

    Phone: (972) 714-0007

    Fax: (972) 714-0009

    Mailing address matches the actual address.

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: 2005-03-04

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
I20050304000191ICertified Registered Nurse Anesthetist (Crna)TXTBD

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 endoscope3131$0
00142Anesthesia for lens surgery2222$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope1615$0
View full utilization report →

Insurance plans in this area (ZIP 75038)

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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: 1355254210View full group profile
NameSpecialtyState
Radiation OncologyTX
Nurse PractitionerTX
Internal MedicineTX
-TX
-TX
Clinical Social WorkerTX
-TX
Nurse PractitionerTX
Orthopedic SurgeryTX
Clinical PsychologistTX

Reviews

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Frequently asked questions

Is there an official ID for MR. JACOB D BAKER (CRNA) in U.S. healthcare records?
The official identifier for MR. JACOB D BAKER (CRNA) is NPI 1093775595.
Is there an active status for MR. JACOB D BAKER (CRNA)?
For scheduling context, MR. JACOB D BAKER (CRNA) is shown as active in the registry.
What kind of doctor is MR. JACOB D BAKER (CRNA)?
MR. JACOB D BAKER (CRNA) is associated with Certified Registered Nurse Anesthetist in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for MR. JACOB D BAKER (CRNA)?
Travel planning: use Irving, Texas as the reference point for MR. JACOB D BAKER (CRNA), then confirm.
When was this NPI issued?
Enumeration for MR. JACOB D BAKER (CRNA) is noted as March 27, 2006 where the registry provides it.

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