Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JACOB DAVID DAIGLE
NPI 1215501218
Nurse Anesthetist, Certified Registered in Amery, WI

Active since May 14, 2021PECOS EnrolledAccepts Medicare Assignment
265 GRIFFIN ST E, AMERY, WI 54001(715) 268-8000 Get Directions Write a Review

NPPES record last updated: September 15, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 15, 2026, Sep 30, 2024, Aug 14, 2023 and 1 more (4 updates tracked since 2021).

About Jacob David Daigle NPPES

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

JACOB DAVID DAIGLE (NPI 1215501218) is an individual nurse anesthetist, certified registered in Amery, Wisconsin, licensed in Wisconsin (14744-33) and active in the NPI registry since May 2021. He is enrolled in Medicare PECOS, is affiliated with Western Wisconsin Health, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1215501218
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameJACOB DAVID DAIGLE
Location Address265 GRIFFIN ST EAmery, WI 54001-1439
Mailing Address8170 33rd Ave S, Mailstop 21110qBloomington, MN 55425-4516 · (715) 268-8000
Sole ProprietorYes
Medical School CMSUniversity Of Michigan Medical SchoolGraduated 2023
Enumeration DateMay 14, 2021
Last NPPES UpdateSeptember 15, 20264 updates tracked since enumeration
NPPES CertifiedSeptember 15, 2026
✔ NPI 1215501218 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 WI · 14744-33
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.
265 GRIFFIN ST E, Amery, WI 54001

Secondary Practice Locations 2

Location 1405 Stageline RdHudson, WI 54016-7848 · Phone (715) 531-6000
Location 2535 Hospital RdNew Richmond, WI 54017-1449 · Phone (715) 243-2600

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

Jacob David Daigle 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 ID42669723
PECOS Enrollment IDI20231206002081
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 Reassignments

4

Medicare enrollment records show Jacob Daigle reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Critical Access
265 GRIFFIN ST E
Amery, WI 54001
  • Reassigned Medicare billing, Wisconsin enrollment
  • 348 clinicians in this Medicare group
Critical Access
535 HOSPITAL ROAD
New Richmond, WI 54017
  • Reassigned Medicare billing, Wisconsin enrollment
  • 357 clinicians in this Medicare group
Critical Access
1100 BERGSLIEN ST
Baldwin, WI 54002
  • Reassigned Medicare billing, Wisconsin enrollment
  • 111 clinicians in this Medicare group
Critical Access
405 STAGELINE RD
Hudson, WI 54016
  • Reassigned Medicare billing, Wisconsin enrollment
  • Also billed through NPI 1255532875 (Wisconsin)
  • 180 clinicians in this Medicare group

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

Hospital Affiliations CMS Care Compare

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

Western Wisconsin Health

Critical Access Hospitals · Baldwin, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521347
Location1100 Bergslien StBaldwin, WI 54002 · St. Croix County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54001 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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.

Emergency Medicine
265 GRIFFIN ST E
AMERY, WI 54001
Family Medicine
265 GRIFFIN ST E
AMERY, WI 54001
Nurse Practitioner (Family)
265 GRIFFIN ST E
AMERY, WI 54001
Nurse Anesthetist, Certified Registered
265 GRIFFIN ST E
AMERY, WI 54001
Home Infusion
265 GRIFFIN ST E
AMERY, WI 54001
Nurse Practitioner (Family)
265 GRIFFIN ST E
AMERY, WI 54001
Surgery
265 GRIFFIN ST E
AMERY, WI 54001
Family Medicine
265 GRIFFIN ST E
AMERY, WI 54001

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 Jacob Daigle's NPI number?

The NPI number for Jacob Daigle is 1215501218. It was assigned to this individual provider in the NPPES registry on May 14, 2021.

Where is Jacob Daigle located?

Jacob Daigle practices at 265 Griffin St E, Amery, WI 54001. The listed phone number is (715) 268-8000.

What is Jacob Daigle's specialty?

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

Is Jacob Daigle enrolled in Medicare?

Yes. Jacob Daigle 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 Jacob Daigle's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacob Daigle reassigns Medicare benefits to 4 organizations: Amery Regional Medical Center, Inc. (Amery, WI), Westfields Hospital, Inc. (New Richmond, WI), Baldwin Area Medical Center, Inc. (Baldwin, WI) and Hudson Hospital, Inc. (Hudson, WI). 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 Jacob Daigle's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Jacob Daigle affiliated with any hospitals?

According to CMS data, Jacob Daigle is affiliated with Western Wisconsin Health.

When was this NPI record last updated?

The NPPES record for Jacob Daigle was last updated on September 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 36 days 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.