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MICHAEL D JACOB CRNA
NPI 1508824905
Nurse Anesthetist, Certified Registered in Indianapolis, IN

Active since May 03, 2006PECOS EnrolledAccepts Medicare Assignment
7150 CLEARVISTA DRIVE, INDIANAPOLIS, IN 37043(317) 621-5890(317) 355-2205 Get Directions Write a Review

NPPES record last updated: July 21, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Michael D Jacob Crna NPPES

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

MICHAEL D JACOB CRNA (NPI 1508824905) is an individual nurse anesthetist, certified registered in Indianapolis, Indiana, licensed in Indiana (28181433A) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1998).

NPPES Registry Identity

NPI1508824905
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameMICHAEL D JACOBCredential: CRNA
Location Address7150 CLEARVISTA DRIVEIndianapolis, IN 37043
Mailing Address6626 E 75th StIndianapolis, IN 46250-2805
Phone(317) 621-5890
Fax(317) 355-2205
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateMay 3, 2006
Last NPPES UpdateJuly 21, 2015
✔ NPI 1508824905 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
Licenses✔ Licensed in IN · 28181433A✔ Licensed in TN · 103360
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.
7150 CLEARVISTA DRIVE, Indianapolis, IN 37043
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Other Identifiers 4

Medicaid200926510IN
Other000000595410IN · Anthem
Medicaid3628323TN
Medicare PIN262030CIN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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

Michael D Jacob 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 ID5991731390
PECOS Enrollment IDI20090717000492
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

8

Medicare enrollment records show Michael Jacob reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Western Ohio Sedation Associates, LLC
104 mi
Nurse Anesthetist, Certified Registered
75 SYLVANIA DR
Beavercreek, OH 45440
  • Reassigned Medicare billing, Ohio enrollment
  • 58 clinicians in this Medicare group
NPI 1649777699 (937) 320-5050
Southwest Ohio Anesthesia Consultants LLC
106 mi
Anesthesiology
7500 STATE RD
Cincinnati, OH 45255
  • Reassigned Medicare billing, Ohio enrollment
  • 830 clinicians in this Medicare group
NPI 1588645188 (800) 930-6313
Northstar Anesthesia Of Kentucky, PLLC
117 mi
Anesthesiology
4000 KRESGE WAY
Louisville, KY 40207
  • Reassigned Medicare billing, Kentucky enrollment
  • 125 clinicians in this Medicare group
NPI 1386938900 (502) 896-5000
Lec Ancillary PLLC
117 mi
Nurse Anesthetist, Certified Registered
1169 EASTERN PKWY, SUITE G58
Louisville, KY 40217
  • Reassigned Medicare billing, Kentucky enrollment
  • 36 clinicians in this Medicare group
NPI 1982917365 (502) 452-9567
Anesthesia Care Associates, LLC
125 mi
Nurse Anesthetist, Certified Registered
53830 GENERATIONS DR
South Bend, IN 46635
  • Reassigned Medicare billing, Indiana enrollment
  • 24 clinicians in this Medicare group
NPI 1073899449 (574) 271-0893
Northern Indiana Anesthesia Associates, LLC
125 mi
Nurse Anesthetist, Certified Registered
53830 GENERATIONS DR
South Bend, IN 46635
  • Reassigned Medicare billing, Indiana enrollment
  • 27 clinicians in this Medicare group
NPI 1033891510 (574) 217-0174
Lake Erie Sedation Associates, LLC
268 mi
Nurse Anesthetist, Certified Registered
8185 WASHINGTON ST STE 6
Chagrin Falls, OH 44023
  • Reassigned Medicare billing, Ohio enrollment
  • 42 clinicians in this Medicare group
NPI 1265927594 (440) 708-0582
Anesthesia Dynamics LLC
878 mi
Anesthesiology
206 2ND ST E
Bradenton, FL 34208
  • Reassigned Medicare billing, Indiana and Ohio enrollments
  • 157 clinicians in this Medicare group
NPI 1073001012 (888) 851-4642

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 4

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 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.
216 services216 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.
109 services107 patients
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.
76 services76 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.
34 services34 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37043 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
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.

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 Michael Jacob's NPI number?

The NPI number for Michael Jacob is 1508824905. It was assigned to this individual provider in the NPPES registry on May 3, 2006.

Where is Michael Jacob located?

Michael Jacob practices at 7150 Clearvista Drive, Indianapolis, IN 37043. The listed phone number is (317) 621-5890.

What is Michael Jacob's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Michael Jacob enrolled in Medicare?

Yes. Michael Jacob 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 Michael Jacob's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Jacob reassigns Medicare benefits to 8 organizations: Western Ohio Sedation Associates, LLC (Beavercreek, OH), Southwest Ohio Anesthesia Consultants LLC (Cincinnati, OH), Northstar Anesthesia Of Kentucky, PLLC (Louisville, KY), Lec Ancillary PLLC (Louisville, KY), Anesthesia Care Associates, LLC (South Bend, IN) and 3 more organizations, listed in the Medicare section above. 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 Michael Jacob's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Jacob accept?

Health plans from CareSource list Michael Jacob 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.

When was this NPI record last updated?

The NPPES record for Michael Jacob was last updated on July 21, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.