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JACOB R PAUL CRNA
NPI 1780022871
Nurse Anesthetist, Certified Registered in Barrington, IL

Active since June 11, 2013PECOS Enrolled
200 FOX GLEN CT, BARRINGTON, IL 60010(847) 382-7165(847) 713-8160 Get Directions Write a Review

NPPES record last updated: August 23, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 23, 2022, Apr 24, 2018 (2 updates tracked since 2018).

About Jacob R Paul Crna NPPES

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

JACOB R PAUL CRNA (NPI 1780022871) is an individual nurse anesthetist, certified registered in Barrington, Illinois, licensed in Wisconsin (163723) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1780022871
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameJACOB R PAULCredential: CRNA
Location Address200 FOX GLEN CTBarrington, IL 60010-1809
Mailing Address4025 N 92nd StWauwatosa, WI 53222-1613 · (414) 358-5431
Phone(847) 382-7165
Fax(847) 713-8160
Sole ProprietorNo
Enumeration DateJune 11, 2013
Last NPPES UpdateAugust 23, 20222 updates tracked since enumeration
NPPES CertifiedAugust 23, 2022
✔ NPI 1780022871 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 WI · 163723
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.
200 FOX GLEN CT, Barrington, IL 60010
Open in Google Maps ↗

Secondary Practice Locations 2

Location 15744 N Broadway StChicago, IL 60660-4302 · Phone (312) 335-0180 · Fax (773) 275-4679
Location 24025 N 92nd StWauwatosa, WI 53222-1613 · Phone (414) 358-5431

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacob R Paul Crna is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

2

Medicare enrollment records show Jacob Paul reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anesthesia Partners Services, S.C.
57 mi
Anesthesiology
2801 W KINNICKINNIC RIVER PKWY STE 1080
Milwaukee, WI 53215
  • Reassigned Medicare billing, Wisconsin enrollment
  • Medicare enrollment name: Anesthesia Partners Services Sc
  • 100 clinicians in this Medicare group
NPI 1861810947 (414) 908-6500
The Medical College Of Wisconsin, Inc.
59 mi
Internal Medicine
8701 WATERTOWN PLANK RD
Milwaukee, WI 53226
  • Reassigned Medicare billing, Wisconsin enrollment
  • 3,983 clinicians in this Medicare group
NPI 1699720086 (414) 955-7101

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60010 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
$137.43 typical visit price
range $59.81 – $181.38
Typical copayment $34.35 (range $14.95 – $45.34)
Most-billed visit code 99204
Established Patient
$74.38 typical visit price
range $19.15 – $147.12
Typical copayment $18.59 (range $4.78 – $36.78)
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 7

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

SUSAN PODLOGAR CRNA
Nurse Anesthetist, Certified Registered
200 FOX GLEN CT
BARRINGTON, IL 60010
Cook County (847) 382-7165
STACEY L MCKELVEY MD
Internal Medicine (Gastroenterology)
200 FOX GLEN CT
BARRINGTON, IL 60010
Cook County (847) 382-7165
MRS. SHEILA LYNN GILLICK PA-C
Physician Assistant (Medical)
200 FOX GLEN CT
BARRINGTON, IL 60010
Cook County (847) 726-0774
TAGOM PHYSICAL THERAPY AND REHABILITATION
Physical Therapist
200 FOX GLEN CT
BARRINGTON, IL 60010
Cook County (847) 722-7831
AGHAPY SURGICAL CENTER SC
Clinic/Center (Ambulatory Surgical)
200 FOX GLEN CT
BARRINGTON, IL 60010
Cook County (847) 382-7165
GEORGE N ATIA, M.D., S.C.
Internal Medicine (Gastroenterology)
200 FOX GLEN CT
BARRINGTON, IL 60010
Cook County (847) 382-7165
GEORGE N ATIA M.D.
Internal Medicine (Gastroenterology)
200 FOX GLEN CT
BARRINGTON, IL 60010
Cook County (847) 382-7165

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 Paul's NPI number?

The NPI number for Jacob Paul is 1780022871. It was assigned to this individual provider in the NPPES registry on June 11, 2013.

Where is Jacob Paul located?

Jacob Paul practices at 200 Fox Glen Ct, Barrington, IL 60010. The listed phone number is (847) 382-7165.

What is Jacob Paul's specialty?

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

Is Jacob Paul enrolled in Medicare?

Yes. Jacob Paul is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jacob Paul's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacob Paul reassigns Medicare benefits to 2 organizations: Anesthesia Partners Services, S.C. (Milwaukee, WI) and The Medical College Of Wisconsin, Inc. (Milwaukee, WI). 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 Paul'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 Paul was last updated on August 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.