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

NPI Status: Active since December 02, 2009

Contact Information

500 W GRANT ST
LAKE CITY, MN
ZIP 55041
Phone: (651) 345-3321

NPI Profile Information
Primary Taxonomy
Secondary Taxonomies
Insurance Plans Accepted
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Individual
Male
Nurse Anesthetist, Certified Registered
Accepts Insurance

About JACOB RICKS

This page provides the complete NPI Profile along with additional information for Jacob Ricks, a provider established in Lake City, Minnesota with a medical specialization in Nurse Anesthetist, Certified Registered. The healthcare provider is registered in the NPI registry with number 1083942015 assigned on December 2009. The practitioner's primary taxonomy code is 367500000X with license number CRNA 0014 (MN). The provider is registered as an individual and his NPI record was last updated 5 years ago.

NPI: 1083942015
Provider Name: MR. JACOB R RICKS CRNA
Gender: Male
Entity Type: Individual
Location Address: 500 W GRANT ST LAKE CITY, MN 55041
Location Phone: (651) 345-3321
Mailing Address: 500 W GRANT ST LAKE CITY, MN 55041
Is Sole Proprietor?: Yes
Enumeration Date: 12-02-2009
Last Update Date: 03-05-2021
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Nurse Anesthetist, Certified Registered
Taxonomy Code: 367500000X
Type: Physician Assistants & Advanced Practice Nursing Providers
License No.: CRNA 0014
License State: MN
Taxonomy Description: (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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No.	Taxonomy Code	Type	Classification / Specialization	License No. (State)
1	367500000X	Physician Assistants & Advanced Practice Nursing Providers	Nurse Anesthetist, Certified Registered	2066835 (MN)
2	367500000X	Physician Assistants & Advanced Practice Nursing Providers	Nurse Anesthetist, Certified Registered	AA093040 (ME)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Medica

Medica Individual Choice Bronze $0 Copay PCP Visits - HMO
Medica Individual Choice Bronze HSA - EPO
Medica Individual Choice Bronze Share - EPO
Medica Individual Choice Bronze Share - HMO
Medica Individual Choice Expanded Bronze Standard - EPO
Medica Individual Choice Expanded Bronze Standard - HMO
Medica Individual Choice Gold $0 Copay PCP Visits - EPO
Medica Individual Choice Gold $0 Copay PCP Visits - HMO
Medica Individual Choice Gold Share - EPO
Medica Individual Choice Gold Share - HMO
Medica Individual Choice Gold Standard - EPO
Medica Individual Choice Gold Standard - HMO
Medica Individual Choice Silver $0 Copay PCP Visits - EPO
Medica Individual Choice Silver $0 Copay PCP Visits - HMO
Medica Individual Choice Silver Share - EPO
Medica Individual Choice Silver Share - HMO
Medica Individual Choice Silver Standard - EPO
Medica Individual Choice Silver Standard - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1083942015, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1

Doubled → 2

Pos 2

Unchanged

Pos 3

Doubled → 16 → 1 + 6

Pos 4

Unchanged

Pos 5

Doubled → 18 → 1 + 8

Pos 6

Unchanged

Pos 7

Doubled → 4

Pos 8

Unchanged

Pos 9

Doubled → 2

Check

Target digit

Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 8 → 16 → 7 9 → 18 → 9 2 → 4 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 1 + 6 + 3 + 1 + 8 + 4 + 4 + 0 + 2 + 24 = 55

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 55 is 60. The difference is the calculated check digit.

60 - 55 = 5

This NPI is valid

The calculated check digit is 5, which matches the last digit of 1083942015.