JACOB SCHRADER CRNA
NPI 1780314179
Nurse Anesthetist, Certified Registered in Bolivar, MO
About Jacob Schrader Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACOB SCHRADER CRNA (NPI 1780314179) is an individual nurse anesthetist, certified registered in Bolivar, Missouri, licensed in Missouri (138671) and active in the NPI registry since June 2022. He is affiliated with Citizens Memorial Hospital and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Jacob Schrader 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.
Medicare Billing Reassignments
3Medicare enrollment records show Jacob Schrader reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Bolivar, MO 65613
- Reassigned Medicare billing, Missouri enrollment
- 128 clinicians in this Medicare group
Buffalo, MO 65622
- Reassigned Medicare billing, Missouri enrollment
- 1,487 clinicians in this Medicare group
Mountain View, MO 65548
- Reassigned Medicare billing, Missouri enrollment
- 126 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.
Areas of Expertise CMS Part B claims 3
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Citizens Memorial Hospital
Acute Care Hospitals · Bolivar, MOPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 65613 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Schrader's NPI number?
The NPI number for Jacob Schrader is 1780314179. It was assigned to this individual provider in the NPPES registry on June 16, 2022.
Where is Jacob Schrader located?
Jacob Schrader practices at 1500 N Oakland Ave, Bolivar, MO 65613. The listed phone number is (417) 326-6000.
What is Jacob Schrader's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Jacob Schrader enrolled in Medicare?
Yes. Jacob Schrader 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 Jacob Schrader's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jacob Schrader reassigns Medicare benefits to 3 organizations: Citizens Memorial Hospital District (Bolivar, MO), Mercy Clinic Springfield Communities (Buffalo, MO) and Mercy St. Francis Hospital (Mountain View, MO). 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 Schrader's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jacob Schrader accept?
Health plans from Health Advantage and Octave list Jacob Schrader 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.
Is Jacob Schrader affiliated with any hospitals?
According to CMS data, Jacob Schrader is affiliated with Citizens Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Jacob Schrader was last updated on June 16, 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.
# Jacob Schrader, CRNA · NPI 1780314179
Nurse Anesthetist, Certified Registered physician in Bolivar, Missouri. Individual provider, active in the CMS NPPES registry since June 16, 2022.
## Identity
- **NPI:** 1780314179 (Entity type: Individual)
- **Enumerated:** June 16, 2022
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 138671 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 1500 N OAKLAND AVE, Bolivar, MO 65613-3011
- **Phone:** (417) 326-6000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Citizens Memorial Hospital District (NPI 1003981549, Bolivar, MO); Mercy Clinic Springfield Communities (NPI 1629103502, Buffalo, MO); Mercy St. Francis Hospital (NPI 1023053477, Mountain View, MO) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** June 16, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1780314179) · Data from the CMS NPPES public registry.