MR. JACOB R RICKS CRNA
NPI 1083942015
Nurse Anesthetist, Certified Registered in Bloomington, MN
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 Bloomington, Minnesota, licensed in Minnesota (14) and active in the NPI registry since December 2009. He is enrolled in Medicare PECOS and is a graduate of University Of New England, College Of Osteo Medicine (2009).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
3Medicare enrollment records show Jacob Ricks reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Minneapolis, MN 55431
- Reassigned Medicare billing, Minnesota enrollment
- 50 clinicians in this Medicare group
Edina, MN 55435
- Reassigned Medicare billing, Minnesota enrollment
- 118 clinicians in this Medicare group
Saint Paul, MN 55101
- Reassigned Medicare billing, Minnesota enrollment
- 119 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55431 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
MINNEAPOLIS, MN 55431
BLOOMINGTON, MN 55431
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
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.
Where is Jacob Ricks located?
Jacob Ricks practices at 8100 Northland Dr, Bloomington, MN 55431. The listed phone number is (952) 831-8742.
What is Jacob Ricks's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Jacob Ricks enrolled in Medicare?
Yes. Jacob Ricks is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Jacob Ricks's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jacob Ricks reassigns Medicare benefits to 3 organizations: Tria Orthopaedic Center LLC (Minneapolis, MN), Southdale Anesthesiologists, LLC (Edina, MN) and Twin Cities Anesthesia Associates PC (Saint Paul, MN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jacob Ricks's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jacob Ricks was last updated on September 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 37 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mr. Jacob R Ricks, CRNA · NPI 1083942015
Nurse Anesthetist, Certified Registered physician in Bloomington, Minnesota. Individual provider, active in the CMS NPPES registry since December 2, 2009.
## Identity
- **NPI:** 1083942015 (Entity type: Individual)
- **Enumerated:** December 2, 2009
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 14 (Minnesota)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 8100 NORTHLAND DR, Bloomington, MN 55431-4800
- **Phone:** (952) 831-8742
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Tria Orthopaedic Center LLC (NPI 1053483503, Minneapolis, MN); Southdale Anesthesiologists, LLC (NPI 1154381804, Edina, MN); Twin Cities Anesthesia Associates PC (NPI 1982125456, Saint Paul, MN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of New England, College Of Osteo Medicine, class of 2009
## Record status
- **NPPES last updated:** September 18, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1083942015) · Data from the CMS NPPES public registry.