JERRY T METCALF CRNA
NPI 1376545160
Nurse Anesthetist, Certified Registered in Dekalb, IL

Q: What is Jerry Metcalf's NPI number?

The NPI number for Jerry Metcalf is 1376545160. It was assigned to this individual provider in the NPPES registry on August 11, 2005.

Q: What is Jerry Metcalf'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 Jerry Metcalf was last updated on December 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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 August 11, 2005PECOS EnrolledAccepts Medicare Assignment

1 KISH HOSPITAL DR, DEKALB, IL 60115(815) 756-1521(815) 766-9647 Get Directions Write a Review

NPPES record last updated: December 16, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Jerry T Metcalf Crna NPPES

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

JERRY T METCALF CRNA (NPI 1376545160) is an individual nurse anesthetist, certified registered in Dekalb, Illinois, licensed in Illinois (209002136) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Cgh Medical Center, and is a graduate of Other (1994).

NPPES Registry Identity

NPI1376545160

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameJERRY T METCALFCredential: CRNA

Location Address1 KISH HOSPITAL DRDekalb, IL 60115-9602

Mailing Address1 Kish Hospital DrDekalb, IL 60115-9602 · (815) 756-1521 · Fax (815) 766-9647

Phone(815) 756-1521

Fax(815) 766-9647

Sole ProprietorNo

Medical School CMSOtherGraduated 1994

Enumeration DateAugust 11, 2005

Last NPPES UpdateDecember 16, 2025

NPPES CertifiedDecember 16, 2025

✔ NPI 1376545160 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

License✔ Licensed in IL · 209002136

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.

Also ListedAnesthesiology · Pain MedicineTaxonomy 207LP2900X · License 041-255087 (IL), 209-002136 (IL)

1 KISH HOSPITAL DR, Dekalb, IL 60115

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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

Jerry T Metcalf 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 ID8628259975

PECOS Enrollment IDI20110221000541

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

Medicare enrollment records show Jerry Metcalf reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Valley Pain Care Centers Ltd

Same address

Pain Medicine

1 KISH HOSPITAL DR
Dekalb, IL 60115

Reassigned Medicare billing, Illinois enrollment
57 clinicians in this Medicare group

NPI 1194722058 (815) 766-1258

Northwestern Medical Faculty Foundation

27 mi

Multi-Specialty

DEPT 5777
Carol Stream, IL 60122

Reassigned Medicare billing, Illinois enrollment
4,817 clinicians in this Medicare group

NPI 1346235314 (855) 694-2866

Cgh Medical Center

50 mi

Family Medicine

101 E MILLER RD
Sterling, IL 61081

Reassigned Medicare billing, Illinois enrollment
356 clinicians in this Medicare group

NPI 1548540636 (815) 625-4790

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 5

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 exam of colon using an endoscope 00812

Anesthesia for a colon examination with an endoscope is a method used to ensure comfort during the procedure. It involves administering medication to help you relax or sleep, thus reducing discomfort as the endoscope, a thin, flexible tube, is navigated through your colon.

22 services22 patients

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731

This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.

19 services18 patients

Anesthesia for other procedure on large bowel using an endoscope 00811

Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.

18 services18 patients

Anesthesia for procedure on small and large bowel using an endoscope 00813

Anesthesia for an endoscopic procedure on the small and large bowel ensures comfort and relaxation during the procedure. It involves administering medicine to help you sleep or feel drowsy. This allows the doctor to examine your bowels without causing you discomfort or pain.

17 services17 patients

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.

11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Cgh Medical Center

Acute Care Hospitals · Sterling, IL

2/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number140043

Location100 East Lefevre RoadSterling, IL 61081 · Whiteside County

Emergency services Birthing friendly

Northwestern Medicine Kishwaukee Hospital

Acute Care Hospitals · Dekalb, IL

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140286

LocationOne Kish Hospital DriveDekalb, IL 60115 · De Kalb County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60115 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

$127.46 typical visit price

range $54.80 – $168.44

Typical copayment $31.86 (range $13.70 – $42.11)

Most-billed visit code 99204

Established Patient

$68.64 typical visit price

range $17.16 – $136.56

Typical copayment $17.16 (range $4.29 – $34.14)

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.

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