JACOB CORNMAN CAA
NPI 1427632587
Anesthesiologist Assistant in Tampa, FL

Q: What is Jacob Cornman's NPI number?

The NPI number for Jacob Cornman is 1427632587. It was assigned to this individual provider in the NPPES registry on May 5, 2021.

Q: What is Jacob Cornman's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Q: When was this NPI record last updated?

The NPPES record for Jacob Cornman was last updated on March 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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 May 05, 2021Accepts Medicare Assignment

12902 USF MAGNOLIA DR, TAMPA, FL 33612(813) 745-7365(813) 449-8618 Get Directions Write a Review

NPPES record last updated: March 27, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 27, 2025, Sep 8, 2021, May 5, 2021 (3 updates tracked since 2021).

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About Jacob Cornman Caa NPPES

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

JACOB CORNMAN CAA (NPI 1427632587) is an individual anesthesiologist assistant in Tampa, Florida, licensed in Florida (AA660) and active in the NPI registry since May 2021. He is affiliated with St Josephs Hospital and is a graduate of Other (2021).

NPPES Registry Identity

NPI1427632587

Entity TypeIndividualMale

Primary Taxonomy367H00000X

Provider Legal NameJACOB CORNMANCredential: CAA

Location Address12902 USF MAGNOLIA DRTampa, FL 33612-9416

Mailing AddressPo Box 198441Atlanta, GA 30384-8441 · (813) 745-7365 · Fax (813) 449-8618

Phone(813) 745-7365

Fax(813) 449-8618

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateMay 5, 2021

Last NPPES UpdateMarch 27, 20253 updates tracked since enumeration

NPPES CertifiedMarch 27, 2025

✔ NPI 1427632587 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367H00000X

License✔ Licensed in FL · AA660

Definition

An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.

12902 USF MAGNOLIA DR, Tampa, FL 33612

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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

Jacob Cornman Caa 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 ID4183020332

PECOS Enrollment IDI20210914000300

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 x-ray or radiation therapy 01922

Anesthesia for x-ray or radiation therapy involves administering medication to help you relax or sleep during the procedure. It's used to ensure comfort, minimize movement, and reduce anxiety. The type of anesthesia used depends on the procedure and patient's health.

12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

St Josephs Hospital

Acute Care Hospitals · Tampa, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number100075

Location3001 W Martin Luther King Jr BlvdTampa, FL 33677 · Hillsborough County

Emergency services Birthing friendly

Hca Florida Brandon Hospital

Acute Care Hospitals · Brandon, FL

3/5 CMS rating

OwnershipProprietary

CMS Certification Number100243

Location119 Oakfield DrBrandon, FL 33511 · Hillsborough County

Emergency services Birthing friendly

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.

DR. MICHAEL MARTIN WACH MD

Surgery