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JACOB DANIEL MILLWOOD CRNA
NPI 1790291763
Nurse Anesthetist, Certified Registered in Jackson, MS

Active since December 28, 2017PECOS EnrolledAccepts Medicare Assignment
84.44/100
CMS Quality Rating
2500 N STATE ST, JACKSON, MS 39216(601) 984-1000 Get Directions Write a Review

NPPES record last updated: December 28, 2017. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Jacob Daniel Millwood Crna NPPES

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

JACOB DANIEL MILLWOOD CRNA (NPI 1790291763) is an individual nurse anesthetist, certified registered in Jackson, Mississippi, licensed in Mississippi (901474) and active in the NPI registry since December 2017. He is enrolled in Medicare PECOS, is affiliated with Delta Health System - The Medical Center, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1790291763
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameJACOB DANIEL MILLWOODCredential: CRNA
Location Address2500 N STATE STJackson, MS 39216-4500
Mailing Address208 Memory LnMadison, MS 39110-6890 · (662) 836-8621
Phone(601) 984-1000
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateDecember 28, 2017
✔ NPI 1790291763 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 MS · 901474
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.
2500 N STATE ST, Jackson, MS 39216
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter Health and more.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 Daniel Millwood 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 ID3870853146
PECOS Enrollment IDI20180206000119
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

4

Medicare enrollment records show Jacob Millwood reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

State Of Mississippi - University Of Mississippi Medical Center
Same address
General Acute Care Hospital
2500 N STATE ST
Jackson, MS 39216
  • Reassigned Medicare billing, Mississippi enrollment
  • 1,932 clinicians in this Medicare group
NPI 1154317527 (601) 984-1000
Jackson Anesthesia Associates PA
1.1 mi
Anesthesiology
1151 N STATE ST, SUITE 311
Jackson, MS 39202
  • Reassigned Medicare billing, Mississippi enrollment
  • 92 clinicians in this Medicare group
NPI 1780737577 (601) 969-1171
Delta Health System
90 mi
Anesthesiology
1400 E UNION ST
Greenville, MS 38703
  • Reassigned Medicare billing, Mississippi enrollment
  • 32 clinicians in this Medicare group
NPI 1447818026 (662) 378-3783
Medstream Anesthesia PLLC
384 mi
Anesthesiology
2221 LAKESIDE BLVD STE 600
Richardson, TX 75082
  • Reassigned Medicare billing, Mississippi enrollment
  • 17 clinicians in this Medicare group
NPI 1649616160 (828) 210-9386

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.

Anesthesia for other procedure on large bowel using an endoscope 00811
Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
17 services17 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.
13 services13 patients
Anesthesia for other procedure on urinary system through urethra 00910
Anesthesia for a procedure on the urinary system through the urethra involves using medicine to numb sensation in the area. This is done to ensure you feel no pain or discomfort during the procedure. The medicine can be given locally, regionally, or generally, depending on the specifics of your procedure.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Delta Health System - The Medical Center

Acute Care Hospitals · Greenville, MS
1/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number250082
Location1400 E Union Street / PO Box 5247Greenville, MS 38704 · Washington County
Emergency services Birthing friendly

Bolivar Medical Center

Acute Care Hospitals · Cleveland, MS
3/5 CMS rating
OwnershipProprietary
CMS Certification Number250093
Location901 E Sunflower RdCleveland, MS 38732 · Bolivar County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39216 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
$120.41 typical visit price
range $51.65 – $159.18
Typical copayment $30.10 (range $12.91 – $39.79)
Most-billed visit code 99204
Established Patient
$64.96 typical visit price
range $16.15 – $129.61
Typical copayment $16.24 (range $4.03 – $32.40)
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.

84.44/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.33
Improvement Activities40
Cost69.53

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.

LAMAR DAVIS II M.D.
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
2500 N STATE ST
JACKSON, MS 39216
Hinds County (601) 984-5275
STEPHEN COMMISKEY M.D.
Anesthesiology
2500 N STATE ST
JACKSON, MS 39216
Hinds County (601) 984-5900
JESSICA SAFLEY MD
Anesthesiology
2500 N STATE ST
JACKSON, MS 39216
Hinds County (601) 984-5900
DR. MARY KINNEY LOWE CORLEY MD
Obstetrics & Gynecology
2500 N STATE ST
JACKSON, MS 39216
Hinds County (601) 984-5339
LAURA ELIZABETH VEARRIER M.D.
Emergency Medicine
2500 N STATE ST
JACKSON, MS 39216
Hinds County (601) 815-2005
DR. CANDICE BRITTANY APRIL DDS
Dentist
2500 N STATE ST
JACKSON, MS 39216
Hinds County (601) 984-6028
DR. LARKIN H MITCHELL M.D.
Anesthesiology
2500 N STATE ST
JACKSON, MS 39216
Hinds County (601) 984-5900
EMILY SUMRALL CHILDRESS CRNA
Nurse Anesthetist, Certified Registered
2500 N STATE ST
JACKSON, MS 39216
Hinds County (601) 984-1000

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 Millwood's NPI number?

The NPI number for Jacob Millwood is 1790291763. It was assigned to this individual provider in the NPPES registry on December 28, 2017.

Where is Jacob Millwood located?

Jacob Millwood practices at 2500 N State St, Jackson, MS 39216. The listed phone number is (601) 984-1000.

What is Jacob Millwood's specialty?

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

Is Jacob Millwood enrolled in Medicare?

Yes. Jacob Millwood 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 Millwood's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacob Millwood reassigns Medicare benefits to 4 organizations: State Of Mississippi - University Of Mississippi Medical Center (Jackson, MS), Jackson Anesthesia Associates PA (Jackson, MS), Delta Health System (Greenville, MS) and Medstream Anesthesia PLLC (Richardson, TX). 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 Millwood's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jacob Millwood accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 1 other insurer list Jacob Millwood 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 Millwood affiliated with any hospitals?

According to CMS data, Jacob Millwood is affiliated with Delta Health System - The Medical Center and Bolivar Medical Center.

When was this NPI record last updated?

The NPPES record for Jacob Millwood was last updated on December 28, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.