ZACHARY MICHAEL JACOBSEN CRNA
NPI 1225808264
Nurse Anesthetist, Certified Registered in La Grande, OR

Active since January 02, 2024Accepts Medicare Assignment
900 SUNSET DR, LA GRANDE, OR 97850(541) 963-8421 Get Directions Write a Review

NPPES record last updated: January 2, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Zachary Michael Jacobsen Crna NPPES

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

ZACHARY MICHAEL JACOBSEN CRNA (NPI 1225808264) is an individual nurse anesthetist, certified registered in La Grande, Oregon, licensed in Oregon (10019614) and active in the NPI registry since January 2024. He is affiliated with Grande Ronde Hospital and is a graduate of Other (2023).

NPPES Registry Identity

NPI1225808264
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameZACHARY MICHAEL JACOBSENCredential: CRNA
Location Address900 SUNSET DRLa Grande, OR 97850-1387
Mailing Address1719 Ira WaySyracuse, UT 84075-9492 · (801) 425-0528
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJanuary 2, 2024
NPPES CertifiedJanuary 2, 2024
NPI 1225808264 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 OR · 10019614
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.

900 SUNSET DR, La Grande, OR 97850

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

Zachary Michael Jacobsen 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 ID1355793084
PECOS Enrollment IDI20240118002575

Hospital Affiliations CMS Care Compare

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

Grande Ronde Hospital

Critical Access Hospitals · La Grande, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number381321
Location900 Sunset DriveLa Grande, OR 97850 · Union County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97850 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
$126.25 typical visit price
range $54.96 – $166.64
Typical copayment $31.56 (range $13.74 – $41.66)
Most-billed visit code 99204
Established Patient
$68.64 typical visit price
range $17.68 – $136.19
Typical copayment $17.16 (range $4.42 – $34.04)
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.

Nurse Anesthetist, Certified Registered
900 SUNSET DR
LA GRANDE, OR 97850
Internal Medicine (Hematology & Oncology)
900 SUNSET DR
LA GRANDE, OR 97850
Nurse Practitioner (Family)
900 SUNSET DR
LA GRANDE, OR 97850
Anesthesiology
900 SUNSET DR
LA GRANDE, OR 97850
Anesthesiology
900 SUNSET DR
LA GRANDE, OR 97850
Anesthesiology
900 SUNSET DR
LA GRANDE, OR 97850
Emergency Medicine
900 SUNSET DR
LA GRANDE, OR 97850
Emergency Medicine
900 SUNSET DR
LA GRANDE, OR 97850

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1225808264, enumerated as an "individual" on January 02, 2024.

The provider is located at 900 SUNSET DR LA GRANDE, OR 97850 and the phone number is (541) 963-8421.

Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Zachary Jacobsen is affiliated with: GRANDE RONDE HOSPITAL.