MR. RICHARD YNGVE JR. JACOBSON (CRNA) – Certified Registered Nurse Anesthetist, NPI 1023042686

MR. RICHARD YNGVE JR. JACOBSON (CRNA) is a healthcare provider. based in Tacoma, Washington. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 55485 (KS). The NPI Number for MR. RICHARD YNGVE JR. JACOBSON (CRNA) is 1023042686

Main info

Male
Sole Proprietor
12 Years Of Experience
Accepts Medicare Assignment
Name
MR. RICHARD YNGVE JR. JACOBSON (CRNA)
NPI
1023042686
Phone
(253) 968-0742
Address
9040 Jackson Ave
Enumeration Date
10 July 2006
Last Update Date
28 May 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3193524120
Graduation Year
2014 (12 years ago)
PAC ID
7810097045
Group Practice PAC ID
8820996762
Professional Enrollment ID
I20180417001153
Address ID
IA506772929WA312XXSWXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:19State licenses:2Digital endpointsOther names

987 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in WA

Provider Addresses for MR. RICHARD YNGVE JR. JACOBSON (CRNA)

  • 9040 Jackson Ave

    Department of Operative and Anesthesia Services

    Tacoma, WA 984315037

    Phone: (253) 968-0742

    Fax: (253) 968-1506

    Type: Location

  • 112, Jefferson Street, Clayton, Union County, New Mexico, 88415, United States

    WEST UNION, IA 521751022

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $630.

Total Amount is formed as General ($630) + Research ($0) + Ownership ($0) = $630.

Last reported payment date: 2024-10-14 • Largest payer in this snapshot: Pacira Pharmaceuticals Incorporated ($419).

Total Amount

$630

General + Research + Ownership

Payments

7

Total payment records

General Amount

$630

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-14

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: 2018-04-17

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
I20180417001153ICertified Registered Nurse Anesthetist (Crna)IATBD

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
99213Established patient office or other outpatient visit, 20-29 minutes8844$0
99203New patient office or other outpatient visit, 30-44 minutes3939$0
20610Aspiration and/or injection of fluid from large joint3119$0
77002Fluoroscopic guidance for needle placement3119$0
27096Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance2116$0
View full utilization report →

Insurance plans in this area (ZIP 98431)

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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: 8820996762View full group profile
NameSpecialtyState
-IA
Nurse PractitionerIA
Nurse PractitionerIA
Nurse PractitionerIA
Family PracticeIA
Family PracticeIA
Nurse PractitionerIA
General Surgery, General PracticeIA
Certified Registered Nurse Anesthetist (Crna)IA
Certified Registered Nurse Anesthetist (Crna)HI

Reviews

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Frequently asked questions

Does MR. RICHARD YNGVE JR. JACOBSON (CRNA) have a public NPI I can cite?
Public records show MR. RICHARD YNGVE JR. JACOBSON (CRNA) under NPI 1023042686.
Quick check: is MR. RICHARD YNGVE JR. JACOBSON (CRNA) active?
Public NPPES data shows MR. RICHARD YNGVE JR. JACOBSON (CRNA) with an active NPI status right now.
What does the directory say MR. RICHARD YNGVE JR. JACOBSON (CRNA) does?
Insurance directories may phrase it differently, but here MR. RICHARD YNGVE JR. JACOBSON (CRNA) maps to Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Is MR. RICHARD YNGVE JR. JACOBSON (CRNA) tied to Tacoma, Washington?
If you are local to Tacoma, Washington, MR. RICHARD YNGVE JR. JACOBSON (CRNA) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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