JACOB CRAVENS MD
NPI 1407311954
Military Health Care Provider in Fort Wainwright, AK

Active since February 08, 2019PECOS Enrolled
4076 NEELY RD, FORT WAINWRIGHT, AK 99703(907) 361-5172 Get Directions Write a Review

NPPES record last updated: January 26, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 26, 2022, Feb 8, 2019 (2 updates tracked since 2019).

About Jacob Cravens Md NPPES

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

JACOB CRAVENS MD (NPI 1407311954) is an individual military health care provider provider in Fort Wainwright, Alaska, licensed in Nebraska (32785) and active in the NPI registry since February 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407311954
Entity TypeIndividualMale
Primary Taxonomy171000000X
Provider Legal NameJACOB CRAVENSCredential: MD
Location Address4076 NEELY RDFort Wainwright, AK 99703
Mailing Address9040 Fitzsimmons DrJoint Base Lewis Mcchord, WA 98431-1000 · (253) 968-0117
Sole ProprietorNo
Enumeration DateFebruary 8, 2019
Last NPPES UpdateJanuary 26, 20222 updates tracked since enumeration
NPPES CertifiedMarch 23, 2021
NPI 1407311954 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMilitary Health Care ProviderOther Service Providers
Taxonomy Code171000000X
License Licensed in NE · 32785
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
4076 NEELY RD, Fort Wainwright, AK 99703

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jacob Cravens Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

Advanced Practice Midwife
4076 NEELY RD
FT WAINWRIGHT, AK 99703
Dentist
4076 NEELY RD
FT WAINWRIGHT, AK 99703
Dietitian, Registered
4076 NEELY RD
FT. WAINWRIGHT, AK 99703
Licensed Practical Nurse
4076 NEELY RD, BASSETT ARMY COMMUNITY HOSPITAL INTERNAL MED CLINIC
FORT WAINWRIGHT, AK 99703
Physician Assistant
4076 NEELY RD, RM 3C-404
FT. WAINWRIGHT, AK 99703
Physician Assistant
4076 NEELY RD
FORT WAINWRIGHT, AK 99703
General Practice
4076 NEELY RD
FT WAINWRIGHT, AK 99703
Emergency Medicine
4076 NEELY RD
FORT WAINWRIGHT, AK 99703

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 Cravens's NPI number?

The NPI number for Jacob Cravens is 1407311954. It was assigned to this individual provider in the NPPES registry on February 8, 2019.

Where is Jacob Cravens located?

Jacob Cravens practices at 4076 Neely Rd, Fort Wainwright, AK 99703. The listed phone number is (907) 361-5172.

What is Jacob Cravens's specialty?

The primary specialty registered for this NPI is Military Health Care Provider with taxonomy code 171000000X.

Is Jacob Cravens enrolled in Medicare?

Yes. Jacob Cravens is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jacob Cravens was last updated on January 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.