LORAN C JACOBS JR. CRNA
NPI 1144277575
Nurse Anesthetist, Certified Registered in Payson, AZ

Q: What is Loran Jacobs's NPI number?

The NPI number for Loran Jacobs is 1144277575. It was assigned to this individual provider in the NPPES registry on May 30, 2006.

Q: What is Loran Jacobs'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 Loran Jacobs was last updated on April 27, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 May 30, 2006Accepts Medicare Assignment

807 S PONDEROSA ST, PAYSON, AZ 85541(602) 273-6770(602) 889-0483 Get Directions Write a Review

NPPES record last updated: April 27, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Loran C Jacobs Jr. Crna NPPES

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

LORAN C JACOBS JR. CRNA (NPI 1144277575) is an individual nurse anesthetist, certified registered in Payson, Arizona, licensed in Arizona (CRNA0562) and active in the NPI registry since May 2006. He is a graduate of Other (1992).

NPPES Registry Identity

NPI1144277575

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameLORAN C JACOBS JR.Credential: CRNA

Location Address807 S PONDEROSA STPayson, AZ 85541-5542

Mailing Address5281 N 99th Ave, Ste 100Glendale, AZ 85305-2209 · (623) 241-6160 · Fax (623) 691-8502

Phone(602) 273-6770

Fax(602) 889-0483

Sole ProprietorNo

Medical School CMSOtherGraduated 1992

Enumeration DateMay 30, 2006

Last NPPES UpdateApril 27, 2017

✔ NPI 1144277575 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

Licenses✔ Licensed in AZ · CRNA0562✔ Licensed in MI · 4704149628✔ Licensed in AZ · RN151239

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.

807 S PONDEROSA ST, Payson, AZ 85541

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Other Identifiers 3

Medicare PINZ121456AZ

Medicaid320385AZ

Other4704149628MI · License Number

Accepted Insurance

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

Loran C Jacobs Jr. 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 ID5294813028

PECOS Enrollment IDI20171229000167

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85541 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

$127.71 typical visit price

range $55.44 – $168.60

Typical copayment $31.92 (range $13.86 – $42.15)

Most-billed visit code 99204

Established Patient

$69.24 typical visit price

range $17.72 – $137.41

Typical copayment $17.31 (range $4.43 – $34.35)

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.

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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.

DR. NAGENDRA GUPTA MD

Internal Medicine