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

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: October 25, 2026.

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, billing reassignment, and ordering and referring status from CMS.

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

Medicare Billing Reassignments

2

Medicare enrollment records show Loran Jacobs reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Tuba City Regional Health Care Corporation
51 mi
Family Medicine
HIGHWAY 89 NORTH AT THE 466 MILE MARKER, 1/8 MILE N OF CAMERON CHAPTER HOUSE
Cameron, AZ 86020
  • Reassigned Medicare billing, Texas enrollment
  • 540 clinicians in this Medicare group
NPI 1134382211 (928) 283-2672
Northeastern Anesthesia PLLC
195 mi
Anesthesiology
5700 E HIGHWAY 90
Sierra Vista, AZ 85635
  • Reassigned Medicare billing, Arizona enrollment
  • 132 clinicians in this Medicare group
NPI 1487956504 (520) 263-3835

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

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
807 S PONDEROSA ST
PAYSON, AZ 85541
Gila County (928) 474-1398
DR. EUGENE MICHAEL FINAN MD
Obstetrics & Gynecology
807 S PONDEROSA ST
PAYSON, AZ 85541
Gila County (928) 471-3222
DR. MARK ROBERT SOLEM M.D.
Emergency Medicine
807 S PONDEROSA ST
PAYSON, AZ 85541
Gila County (928) 472-1341
BANNER HEALTH
General Acute Care Hospital
807 S PONDEROSA ST
PAYSON, AZ 85541
Gila County (928) 474-3222
BANNER HEALTH
General Acute Care Hospital (Critical Access)
807 S PONDEROSA ST
PAYSON, AZ 85541
Gila County (928) 471-3222
RIM COUNTRY ANESTHESIA SERVICES PC
Nurse Anesthetist, Certified Registered
807 S PONDEROSA ST
PAYSON, AZ 85541
Gila County (602) 273-6770
BANNER HEALTH
Medicare Defined Swing Bed Unit
807 S PONDEROSA ST
PAYSON, AZ 85541
Gila County (928) 474-3222
PAUL ALEXANDER BUDNICK MD
Emergency Medicine
807 S PONDEROSA ST
PAYSON, AZ 85541
Gila County (602) 386-9982

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 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.

Where is Loran Jacobs located?

Loran Jacobs practices at 807 S Ponderosa St, Payson, AZ 85541. The listed phone number is (602) 273-6770.

What is Loran Jacobs's specialty?

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

Is Loran Jacobs enrolled in Medicare?

Yes. Loran Jacobs 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 Loran Jacobs's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Loran Jacobs reassigns Medicare benefits to 2 organizations: Tuba City Regional Health Care Corporation (Cameron, AZ) and Northeastern Anesthesia PLLC (Sierra Vista, AZ). 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 Loran Jacobs's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Loran Jacobs accept?

Health plans from Blue Cross Blue Shield of Arizona list Loran Jacobs as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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.