JACOB WOLF (APRN, CRNA) – Certified Registered Nurse Anesthetist, NPI 1801445077
Certified Registered Nurse Anesthetist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for JACOB WOLF (APRN, CRNA)
250 S 1200 E # B
SALT LAKE CITY, UT 841022651
Phone:
Type: Mailing
Adventist Health Bakersfield, 2615, Chester Avenue, Bakersfield, Kern County, California, 93301, United States
BAKERSFIELD, CA 933012014
Phone: (661) 395-3000
Type: Location
8201 E Riverside Blvd
Rockford, IL 611142300
Phone: (815) 971-5000
Type: Location
1005 HEALTH CENTER DR STE 201
MATTOON, IL 619384653
Phone: (217) 868-2812
Type: Mailing
1000 HEALTH CENTER DR
MATTOON, IL 619384644
Phone: (217) 258-2440
Fax: (217) 258-2186
Type: Location
25 N WINFIELD RD
WINFIELD, IL 601901379
Phone: (630) 933-6675
Fax: (630) 933-2614
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 $73.
Total Amount is formed as General ($73) + Research ($0) + Ownership ($0) = $73.
Last reported payment date: 2024-10-17 • Largest payer in this snapshot: Stryker Corporation ($59).
Total Amount
$73
General + Research + Ownership
Payments
2
Total payment records
General Amount
$73
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Stryker Corporation | $59 |
| Integra LifeSciences Corporation | $14 |
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: 2023-06-20
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
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 |
|---|---|---|---|---|
| I20191218003215 | I | Certified Registered Nurse Anesthetist (Crna) | CA | TBD |
| I20210208000774 | I | Certified Registered Nurse Anesthetist (Crna) | IL | TBD |
| I20210303002941 | I | Certified Registered Nurse Anesthetist (Crna) | UT | TBD |
| I20230620003534 | I | Certified Registered Nurse Anesthetist (Crna) | VA | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 84102)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CA | |
| A N E S T H E S I O L O G Y | CA | |
| - | CA | |
| A N E S T H E S I O L O G Y | CA | |
| Certified Registered Nurse Anesthetist (Crna) | MD | |
| - | CA | |
| A N E S T H E S I O L O G Y | CA | |
| A N E S T H E S I O L O G Y | CA |
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