SUZANNE M JACOBS (CRNA) – Certified Registered Nurse Anesthetist, NPI 1750353769
Certified Registered Nurse Anesthetist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,144 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in WI
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Provider Addresses for SUZANNE M JACOBS (CRNA)
80, 1st Street, Downtown, Village of Prairie du Sac, Sauk County, Wisconsin, 53578, United States
PRAIRIE DU SAC, WI 535781550
Phone: (608) 643-3311
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)
CMS reports 1 Open Payments records for all available years, with a total value of $125.
Total Amount is formed as General ($125) + Research ($0) + Ownership ($0) = $125.
Last reported payment date: 2024-03-14 • Largest payer in this snapshot: Pacira Pharmaceuticals Incorporated ($125).
Total Amount
$125
General + Research + Ownership
Payments
1
Total payment records
General Amount
$125
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Pacira Pharmaceuticals Incorporated | $125 |
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: 2007-06-13
PECOS data refreshed: 2026-06-15
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20070613000690 | I | Certified Registered Nurse Anesthetist (Crna) | WI | 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 |
|---|---|---|---|---|
| 64448 | Continuous infusion of anesthetic agent and/or steroid into thigh nerve (femoral nerve) through catheter | 29 | 29 | $0 |
| 01402 | Anesthesia for procedure for total knee joint replacement | 27 | 26 | $0 |
| 00812 | Anesthesia for exam of colon using an endoscope | 16 | 16 | $0 |
| 01214 | Anesthesia for total hip replacement | 16 | 16 | $0 |
Insurance plans in this area (ZIP 53578)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| CERTIFIED REGISTERED NURSE ANESTHET | WI | 01402 | Anesthesia for open or endoscopic total knee joint replacement | 29 | 28 |
| CERTIFIED REGISTERED NURSE ANESTHET | WI | 76942 | Ultrasonic guidance imaging supervision and interpretation for insertion of needle | 19 | 19 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | WI | |
| - | WI | |
| Nurse Practitioner | WI | |
| Nurse Practitioner | WI | |
| Physician Assistant | WI | |
| Nurse Practitioner | WI | |
| Physician Assistant | WI | |
| Certified Registered Nurse Anesthetist (Crna) | WI | |
| - | WI | |
| Physician Assistant | WI |
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