ZACHARY MICHAEL JACOBSEN CRNA
NPI 1225808264
Nurse Anesthetist, Certified Registered in La Grande, OR
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
Specialties & Licenses
Accepted 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
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.
Medicare Billing Reassignments
2Medicare enrollment records show Zachary Jacobsen reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
La Grande, OR 97850
- Reassigned Medicare billing, Oregon enrollment
- 158 clinicians in this Medicare group
Driggs, ID 83422
- Reassigned Medicare billing, Idaho enrollment
- Also billed through NPI 1477809622 (Idaho)
- 90 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.
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.
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, ORPhysician 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.
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.
LA GRANDE, OR 97850
LA GRANDE, OR 97850
LA GRANDE, OR 97850
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 Zachary Jacobsen's NPI number?
The NPI number for Zachary Jacobsen is 1225808264. It was assigned to this individual provider in the NPPES registry on January 2, 2024.
Where is Zachary Jacobsen located?
Zachary Jacobsen practices at 900 Sunset Dr, La Grande, OR 97850. The listed phone number is (541) 963-8421.
What is Zachary Jacobsen's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Zachary Jacobsen enrolled in Medicare?
Yes. Zachary Jacobsen 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 Zachary Jacobsen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Zachary Jacobsen reassigns Medicare benefits to 2 organizations: Grande Ronde Hospital, Inc. (La Grande, OR) and Teton Valley Health Care Inc (Driggs, ID). 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 Zachary Jacobsen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Zachary Jacobsen accept?
Health plans from Select Health list Zachary Jacobsen 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.
Is Zachary Jacobsen affiliated with any hospitals?
According to CMS data, Zachary Jacobsen is affiliated with Grande Ronde Hospital.
When was this NPI record last updated?
The NPPES record for Zachary Jacobsen was last updated on January 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Zachary Michael Jacobsen, CRNA · NPI 1225808264
Nurse Anesthetist, Certified Registered physician in La Grande, Oregon. Individual provider, active in the CMS NPPES registry since January 2, 2024.
## Identity
- **NPI:** 1225808264 (Entity type: Individual)
- **Enumerated:** January 2, 2024
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 10019614 (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 900 SUNSET DR, La Grande, OR 97850-1387
- **Phone:** (541) 963-8421
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Grande Ronde Hospital, Inc. (NPI 1467446195, La Grande, OR); Teton Valley Health Care Inc (NPI 1013264183, Driggs, ID) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** January 2, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1225808264) · Data from the CMS NPPES public registry.