MR. JACOB R RICKS CRNA
NPI 1083942015
Nurse Anesthetist, Certified Registered in Lake City, MN

Q: What is Jacob Ricks's NPI number?

The NPI number for Jacob Ricks is 1083942015. It was assigned to this individual provider in the NPPES registry on December 2, 2009.

Q: What is Jacob Ricks's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Q: When was this NPI record last updated?

The NPPES record for Jacob Ricks was last updated on March 5, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since December 02, 2009Accepts Medicare Assignment

500 W GRANT ST, LAKE CITY, MN 55041(651) 345-3321 Get Directions Write a Review

NPPES record last updated: March 5, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 5, 2021, Oct 5, 2020, Jun 19, 2019 (3 updates tracked since 2019).

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About Mr. Jacob R Ricks Crna NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JACOB R RICKS CRNA (NPI 1083942015) is an individual nurse anesthetist, certified registered in Lake City, Minnesota, licensed in Minnesota (CRNA 0014) and active in the NPI registry since December 2009. He is a graduate of University Of New England, College Of Osteo Medicine (2009).

NPPES Registry Identity

NPI1083942015

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameMR. JACOB R RICKSCredential: CRNA

Location Address500 W GRANT STLake City, MN 55041-1143

Mailing Address500 W Grant StLake City, MN 55041-1143

Phone(651) 345-3321

Sole ProprietorYes

Medical School CMSUniversity Of New England, College Of Osteo MedicineGraduated 2009

Enumeration DateDecember 2, 2009

Last NPPES UpdateMarch 5, 20213 updates tracked since enumeration

NPPES CertifiedMarch 5, 2021

✔ NPI 1083942015 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

Licenses✔ Licensed in MN · CRNA 0014✔ Licensed in MN · 2066835✔ Licensed in ME · AA093040

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

500 W GRANT ST, Lake City, MN 55041

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Jacob R Ricks Crna is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5395870778

PECOS Enrollment IDI20121102000278

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for procedure for total knee joint replacement 01402

Anesthesia for a total knee joint replacement numbs your body to eliminate pain during surgery. This could be general anesthesia where you're unconscious, or regional anesthesia where only the leg is numb. It's administered by a specialist, ensuring safety and comfort.

13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55041 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$127.61 typical visit price

range $56.00 – $168.28

Typical copayment $31.90 (range $14.00 – $42.07)

Most-billed visit code 99204

Established Patient

$69.74 typical visit price

range $18.32 – $138.04

Typical copayment $17.43 (range $4.58 – $34.51)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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