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

Q: 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.

Q: What is Zachary Jacobsen'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 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.

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: August 09, 2026.

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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

Phone(541) 963-8421

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

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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

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.

Anesthesia for procedure for total knee joint replacement 01402

Anesthesia for a total knee joint replacement numbs your body to eliminate pain during surgery. This could be general anesthesia where you're unconscious, or regional anesthesia where only the leg is numb. It's administered by a specialist, ensuring safety and comfort.

13 services12 patients

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.

DANIELLE KIGGINS SISUL

Emergency Medicine