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JACOB KIRTLEY
NPI 1568925048
Nurse Anesthetist, Certified Registered in Richmond Heights, MO

Active since April 10, 2019Accepts Medicare Assignment
80.57/100
CMS Quality Rating
6420 CLAYTON RD, RICHMOND HEIGHTS, MO 63117(314) 768-8000 Get Directions Write a Review

NPPES record last updated: April 10, 2019. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Jacob Kirtley NPPES

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

JACOB KIRTLEY (NPI 1568925048) is an individual nurse anesthetist, certified registered in Richmond Heights, Missouri, licensed in Missouri (123786) and active in the NPI registry since April 2019. He is affiliated with Ssm Health St Mary's Hospital - St Louis and is a graduate of Other (2012).

NPPES Registry Identity

NPI1568925048
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameJACOB KIRTLEY
Location Address6420 CLAYTON RDRichmond Heights, MO 63117-1811
Mailing Address7839 Navajoe StSaint Louis, MO 63123-2754
Phone(314) 768-8000
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateApril 10, 2019
✔ NPI 1568925048 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
License✔ Licensed in MO · 123786
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.
6420 CLAYTON RD, Richmond Heights, MO 63117
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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 Kirtley 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 ID9234472820
PECOS Enrollment IDI20190522003344

Areas of Expertise CMS Part B claims 2

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 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.
13 services13 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.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Ssm Health St Mary's Hospital - St Louis

Acute Care Hospitals · Richmond Heights, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260091
Location6420 Clayton RdRichmond Heights, MO 63117 · St. Louis County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63117 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
$128.28 typical visit price
range $55.65 – $169.38
Typical copayment $32.07 (range $13.91 – $42.34)
Most-billed visit code 99204
Established Patient
$69.50 typical visit price
range $17.76 – $137.92
Typical copayment $17.37 (range $4.44 – $34.48)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

80.57/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70
Improvement Activities40

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.

KRISTA HARRY PHARMD
Pharmacist
6420 CLAYTON RD
RICHMOND HEIGHTS, MO 63117
St. Louis County (314) 768-8341
ANDERSON WEST JR. REGISTERED NURSE
Registered Nurse
6420 CLAYTON RD
RICHMOND HEIGHTS, MO 63117
St. Louis County (314) 768-8644
VICTORIA CERNETICH MS, RD, LD
Dietitian, Registered
6420 CLAYTON RD
RICHMOND HEIGHTS, MO 63117
St. Louis County (314) 768-8891
DR. SHOUYING DU M.D
Pathology (Anatomic Pathology & Clinical Pathology)
6420 CLAYTON RD
SAINT LOUIS, MO 63117
St. Louis County (314) 344-7525
AUDREY KATE DOMBROWSKI MS, RD, LD
Dietitian, Registered
6420 CLAYTON RD
RICHMOND HEIGHTS, MO 63117
St. Louis County (314) 768-8891
MARISA CLEMENTE
Occupational Therapist
6420 CLAYTON RD
RICHMOND HEIGHTS, MO 63117
St. Louis County (314) 768-8000
LAUREN VALERIA EVELTI
Student in an Organized Health Care Education/Training Program
6420 CLAYTON RD
SAINT LOUIS, MO 63117
St. Louis County (314) 768-8000
PAMELA HAMPTON CRNA
Nurse Anesthetist, Certified Registered
6420 CLAYTON RD
SAINT LOUIS, MO 63117
St. Louis County (314) 768-8442

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 Kirtley's NPI number?

The NPI number for Jacob Kirtley is 1568925048. It was assigned to this individual provider in the NPPES registry on April 10, 2019.

Where is Jacob Kirtley located?

Jacob Kirtley practices at 6420 Clayton Rd, Richmond Heights, MO 63117. The listed phone number is (314) 768-8000.

What is Jacob Kirtley's specialty?

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

Is Jacob Kirtley enrolled in Medicare?

Yes. Jacob Kirtley 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 Kirtley affiliated with any hospitals?

According to CMS data, Jacob Kirtley is affiliated with Ssm Health St Mary's Hospital - St Louis.

When was this NPI record last updated?

The NPPES record for Jacob Kirtley was last updated on April 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.