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

Active since August 08, 2017
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: July 26, 2026.

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

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 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
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

Medicare Participation & PECOS CMS

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

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

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

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.

Medicare Defined Swing Bed Unit
910 WALLACE AVE
LEITCHFIELD, KY 42754
Internal Medicine
910 WALLACE AVE
LEITCHFIELD, KY 42754
Nurse Anesthetist, Certified Registered
910 WALLACE AVE
LEITCHFIELD, KY 42754
Clinical Medical Laboratory
910 WALLACE AVE
LEITCHFIELD, KY 42754
Physician Assistant
910 WALLACE AVE
LEITCHFIELD, KY 42754
Occupational Therapist
910 WALLACE AVE
LEITCHFIELD, KY 42754
Obstetrics & Gynecology
910 WALLACE AVE
LEITCHFIELD, KY 42754
Dietitian, Registered
910 WALLACE AVE
LEITCHFIELD, KY 42754

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 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.

Where is Jared Crocker located?

Jared Crocker practices at 910 Wallace Ave, Leitchfield, KY 42754. The listed phone number is (270) 274-0480.

What is Jared Crocker's specialty?

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

Is Jared Crocker enrolled in Medicare?

Yes. Jared Crocker is registered in the Medicare PECOS enrollment system.

Is Jared Crocker affiliated with any hospitals?

According to CMS data, Jared Crocker is affiliated with Owensboro Health Regional Hospital and Owensboro Health Twin Lakes Medical Center.

When was this NPI record last updated?

The NPPES record for Jared Crocker was last updated on February 25, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.