DR. JACOB ALIDORE FORET CRNA
NPI 1528804176
Nurse Anesthetist, Certified Registered in Twentynine Palms, CA
About Dr. Jacob Alidore Foret Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JACOB ALIDORE FORET CRNA (NPI 1528804176) is an individual nurse anesthetist, certified registered in Twentynine Palms, California, licensed in North Carolina (007484) and active in the NPI registry since July 2024.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Jacob Alidore Foret Crna is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Jacob Foret reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Brawley, CA 92227
- Reassigned Medicare billing, California enrollment
- 33 clinicians in this Medicare group
Ashland, OH 44805
- Reassigned Medicare billing, Ohio enrollment
- 1,437 clinicians in this Medicare group
Cleveland, OH 44106
- Reassigned Medicare billing, Ohio enrollment
- 3,958 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
TWENTYNINE PALMS, CA 92278
TWENTYNINE PALMS, CA 92278
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 Foret's NPI number?
The NPI number for Jacob Foret is 1528804176. It was assigned to this individual provider in the NPPES registry on July 3, 2024.
Where is Jacob Foret located?
Jacob Foret practices at 1145 Sturgis Road, Twentynine Palms, CA 92278. The listed phone number is (760) 830-2117.
What is Jacob Foret's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Jacob Foret enrolled in Medicare?
Yes. Jacob Foret is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Jacob Foret's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jacob Foret reassigns Medicare benefits to 3 organizations: Anesthesia Medical Group Of Imperial Valley, Inc. (Brawley, CA), University Primary Care Practices Inc (Ashland, OH) and University Hospitals Medical Group Inc (Cleveland, OH). 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 Jacob Foret's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jacob Foret was last updated on October 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days 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.
# Dr. Jacob Alidore Foret, CRNA · NPI 1528804176
Nurse Anesthetist, Certified Registered physician in Twentynine Palms, California. Individual provider, active in the CMS NPPES registry since July 3, 2024.
## Identity
- **NPI:** 1528804176 (Entity type: Individual)
- **Enumerated:** July 3, 2024
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 007484 (North Carolina)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1145 STURGIS ROAD, Twentynine Palms, CA 92278-8275
- **Phone:** (760) 830-2117
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Anesthesia Medical Group Of Imperial Valley, Inc. (NPI 1487087136, Brawley, CA); University Primary Care Practices Inc (NPI 1619004470, Ashland, OH); University Hospitals Medical Group Inc (NPI 1669499414, Cleveland, OH) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 23, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1528804176) · Data from the CMS NPPES public registry.