JACOB ZACHARY CLARK CRNA
NPI 1093282410
Nurse Anesthetist, Certified Registered in Austin, TX

Q: What is Jacob Clark's NPI number?

The NPI number for Jacob Clark is 1093282410. It was assigned to this individual provider in the NPPES registry on October 24, 2018.

Q: What is Jacob Clark'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 Clark was last updated on September 21, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 24, 2018Accepts Medicare Assignment

93.5/100

CMS Quality Rating

3705 MEDICAL PKWY STE 570, AUSTIN, TX 78705(512) 454-2554(512) 454-2824 Get Directions Write a Review

NPPES record last updated: September 21, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 21, 2020, Feb 27, 2020, Oct 24, 2018 (3 updates tracked since 2018).

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About Jacob Zachary Clark Crna NPPES

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

JACOB ZACHARY CLARK CRNA (NPI 1093282410) is an individual nurse anesthetist, certified registered in Austin, Texas, licensed in Texas (AP140355) and active in the NPI registry since October 2018. He is affiliated with Hill Country Memorial Hospital, maintains a secondary practice location in Fredericksburg, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1093282410

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameJACOB ZACHARY CLARKCredential: CRNA

Location Address3705 MEDICAL PKWY STE 570Austin, TX 78705-1024

Mailing AddressPo Box 840853Dallas, TX 75284-0853 · (972) 233-1999 · Fax (972) 233-3666

Phone(512) 454-2554

Fax(512) 454-2824

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateOctober 24, 2018

Last NPPES UpdateSeptember 21, 20203 updates tracked since enumeration

NPPES CertifiedSeptember 21, 2020

✔ NPI 1093282410 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

License✔ Licensed in TX · AP140355

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.

3705 MEDICAL PKWY STE 570, Austin, TX 78705

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Secondary Practice Location 1

Location 11020 S State Highway 16Fredericksburg, TX 78624-4471 · Phone (817) 980-6065

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.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

Jacob Zachary Clark 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 ID547508541

PECOS Enrollment IDI20190218001961

Areas of Expertise CMS Part B claims 10

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 other procedure on large bowel using an endoscope 00811

Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.

60 services60 patients

Anesthesia for lens surgery 00142

Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.

32 services32 patients

Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve) 64447

This procedure involves injecting a numbing agent and/or steroid into a nerve in your thigh. It's done to alleviate pain or inflammation. A needle will be carefully positioned near the nerve, and the medicine will be administered.

32 services31 patients

Anesthesia for procedure on small and large bowel using an endoscope 00813

Anesthesia for an endoscopic procedure on the small and large bowel ensures comfort and relaxation during the procedure. It involves administering medicine to help you sleep or feel drowsy. This allows the doctor to examine your bowels without causing you discomfort or pain.

23 services23 patients

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.

23 services23 patients

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731

This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.

22 services22 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Hill Country Memorial Hospital

Acute Care Hospitals · Fredericksburg, TX

5/5 CMS rating

OwnershipProprietary

CMS Certification Number450604

Location1020 South State Highway 16Fredericksburg, TX 78624 · Gillespie County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78705 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

$131.95 typical visit price

range $57.88 – $174.00

Typical copayment $32.98 (range $14.47 – $43.50)

Most-billed visit code 99204

Established Patient

$71.95 typical visit price

range $18.88 – $142.23

Typical copayment $17.98 (range $4.72 – $35.55)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

93.5/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

97.15

Improvement Activities

Cost

83.57

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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.

PRESILIANO FRANCO JR. CRNA

Nurse Anesthetist, Certified Registered