JARED CROCKER CRNA
NPI 1114442324
Nurse Anesthetist, Certified Registered in Leitchfield, KY

Q: What is Jared Crocker's NPI number?

The NPI number for Jared Crocker is 1114442324. It was assigned to this individual provider in the NPPES registry on August 8, 2017.

Q: What is Jared Crocker'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 Jared Crocker was last updated on February 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.

Active since August 08, 2017PECOS Enrolled

910 WALLACE AVE, LEITCHFIELD, KY 42754(270) 274-0480 Get Directions Write a Review

NPPES record last updated: February 25, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 25, 2019, Aug 8, 2017 (2 updates tracked since 2017).

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About Jared Crocker Crna NPPES

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

JARED CROCKER CRNA (NPI 1114442324) is an individual nurse anesthetist, certified registered in Leitchfield, Kentucky, licensed in Kentucky (3013154) and active in the NPI registry since August 2017. He is enrolled in Medicare PECOS, is affiliated with Owensboro Health Regional Hospital, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1114442324

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameJARED CROCKERCredential: CRNA

Location Address910 WALLACE AVELeitchfield, KY 42754-2414

Mailing Address119 John Austin LnMt Washington, KY 40047-6349

Phone(270) 274-0480

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateAugust 8, 2017

Last NPPES UpdateFebruary 25, 20192 updates tracked since enumeration

✔ NPI 1114442324 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 KY · 3013154

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.

910 WALLACE AVE, Leitchfield, KY 42754

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter of Tennessee.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jared Crocker Crna is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4284974726

PECOS Enrollment IDI20190320002596

Eligible to Order & Refer✔ Part B Labs & Imaging– Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Jared Crocker reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Conoloway Anesthesia PLLC

Same address

Nurse Anesthetist, Certified Registered

910 WALLACE AVE
Leitchfield, KY 42754

Reassigned Medicare billing, Kentucky enrollment
7 clinicians in this Medicare group

NPI 1144965955 (270) 889-8837

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.

Anesthesia for exam of colon using an endoscope 00812

Anesthesia for a colon examination with an endoscope is a method used to ensure comfort during the procedure. It involves administering medication to help you relax or sleep, thus reducing discomfort as the endoscope, a thin, flexible tube, is navigated through your colon.

12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Owensboro Health Regional Hospital

Acute Care Hospitals · Owensboro, KY

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180038

Location1201 Pleasant Valley RoadOwensboro, KY 42303 · Daviess County

Emergency services Birthing friendly

Owensboro Health Twin Lakes Medical Center

Acute Care Hospitals · Leitchfield, KY

2/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number180070

Location910 Wallace AvenueLeitchfield, KY 42754 · Grayson County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42754 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

$122.77 typical visit price

range $52.76 – $162.27

Typical copayment $30.69 (range $13.19 – $40.56)

Most-billed visit code 99204

Established Patient

$66.24 typical visit price

range $16.53 – $131.99

Typical copayment $16.56 (range $4.13 – $32.99)

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.

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.

GRAYSON COUNTY HOSPITAL FOUNDATION INC

Medicare Defined Swing Bed Unit