JACOB TIBBS CRNA
NPI 1548901739
Nurse Anesthetist, Certified Registered in Princeton, WV

Active since April 05, 2022Accepts Medicare Assignment
122 12TH STREET EXT, PRINCETON, WV 24740(304) 487-7000 Get Directions Write a Review

NPPES record last updated: September 8, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 8, 2022, Apr 5, 2022 (2 updates tracked since 2022).

About Jacob Tibbs Crna NPPES

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

JACOB TIBBS CRNA (NPI 1548901739) is an individual nurse anesthetist, certified registered in Princeton, West Virginia, licensed in West Virginia (113030) and active in the NPI registry since April 2022. He is affiliated with Princeton Community Hospital and is a graduate of Other (2022).

NPPES Registry Identity

NPI1548901739
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameJACOB TIBBSCredential: CRNA
Location Address122 12TH STREET EXTPrinceton, WV 24740-2352
Mailing AddressPo Box 7023Princeton, WV 24740-0197
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateApril 5, 2022
Last NPPES UpdateSeptember 8, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2022
NPI 1548901739 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 WV · 113030
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 ListedRegistered NurseTaxonomy 163W00000X · License 0001282301 (VA)
122 12TH STREET EXT, Princeton, WV 24740

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 Tibbs 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 ID2163808189
PECOS Enrollment IDI20220928003188

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 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.
16 services15 patients

Hospital Affiliations CMS Care Compare

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

Princeton Community Hospital

Acute Care Hospitals · Princeton, WV
1/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number510046
Location122 12th StreetPrinceton, WV 24740 · Mercer County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24740 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
$124.46 typical visit price
range $53.20 – $164.59
Typical copayment $31.11 (range $13.30 – $41.14)
Most-billed visit code 99204
Established Patient
$66.84 typical visit price
range $16.47 – $133.29
Typical copayment $16.71 (range $4.11 – $33.32)
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 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
122 12TH STREET EXT, PRINCETON COMMUNITY HOSPITAL
PRINCETON, WV 24740
Physician Assistant
122 12TH STREET EXT
PRINCETON, WV 24740
Pathology (Anatomic Pathology & Clinical Pathology)
122 12TH STREET EXT
PRINCETON, WV 24740
Psychiatric Unit
122 12TH STREET EXT
PRINCETON, WV 24740
Emergency Medicine
122 12TH STREET EXT
PRINCETON, WV 24740
Speech-Language Pathologist
122 12TH STREET EXT
PRINCETON, WV 24740
Physician Assistant (Medical)
122 12TH STREET EXT
PRINCETON, WV 24740
Nurse Practitioner (Family)
122 12TH STREET EXT, PRINCETON COMMUNITY HOSPITAL
PRINCETON, WV 24740

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 Tibbs's NPI number?

The NPI number for Jacob Tibbs is 1548901739. It was assigned to this individual provider in the NPPES registry on April 5, 2022.

Where is Jacob Tibbs located?

Jacob Tibbs practices at 122 12th Street Ext, Princeton, WV 24740. The listed phone number is (304) 487-7000.

What is Jacob Tibbs's specialty?

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

Is Jacob Tibbs enrolled in Medicare?

Yes. Jacob Tibbs 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.

Is Jacob Tibbs affiliated with any hospitals?

According to CMS data, Jacob Tibbs is affiliated with Princeton Community Hospital.

When was this NPI record last updated?

The NPPES record for Jacob Tibbs was last updated on September 8, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.