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JACOB STAHL CRNA
NPI 1801209200
Nurse Anesthetist, Certified Registered in Traverse City, MI

Active since June 04, 2014Accepts Medicare Assignment
4100 PARK FOREST DR, SUITE 201, TRAVERSE CITY, MI 49684(231) 935-5770(231) 935-0747 Get Directions Write a Review

NPPES record last updated: April 15, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jacob Stahl Crna NPPES

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

JACOB STAHL CRNA (NPI 1801209200) is an individual nurse anesthetist, certified registered in Traverse City, Michigan, licensed in Michigan (4704272613) and active in the NPI registry since June 2014. He is affiliated with Munson Medical Center and is a graduate of Wayne State University School Of Medicine (2014).

NPPES Registry Identity

NPI1801209200
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameJACOB STAHLCredential: CRNA
Location Address4100 PARK FOREST DR, SUITE 201Traverse City, MI 49684-7331
Mailing Address4100 Park Forest Dr, Suite 201Traverse City, MI 49684-7331 · (231) 935-5770 · Fax (231) 935-0747
Phone(231) 935-5770
Fax(231) 935-0747
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 2014
Enumeration DateJune 4, 2014
Last NPPES UpdateApril 15, 2015
✔ NPI 1801209200 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 MI · 4704272613
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.
4100 PARK FOREST DR, Traverse City, MI 49684
Open in Google Maps ↗

Other Identifiers 2

Medicaid1801209200MI
Medicare PIN0B86029 032

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.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 Stahl 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 ID1456572635
PECOS Enrollment IDI20141103000531

Medicare Billing Reassignments

3

Medicare enrollment records show Jacob Stahl reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Munson Medical Group
0.9 mi
Family Medicine
1400 MEDICAL CAMPUS DR
Traverse City, MI 49684
  • Reassigned Medicare billing, Michigan enrollment
  • 191 clinicians in this Medicare group
NPI 1861047060 (231) 935-8000
Surgery Center Plc
1.0 mi
Ambulatory Surgical
5080 N ROYAL DR
Traverse City, MI 49684
  • Reassigned Medicare billing, Michigan enrollment
  • 8 clinicians in this Medicare group
NPI 1770577637 (231) 929-2500
Munson Medical Center
1.2 mi
Anesthesiology
1105 SIXTH ST
Traverse City, MI 49684
  • Reassigned Medicare billing, Michigan enrollment
  • 74 clinicians in this Medicare group
NPI 1710735287 (231) 935-5710

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

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 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

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

Munson Medical Center

Acute Care Hospitals · Traverse City, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230097
Location1105 Sixth StreetTraverse City, MI 49684 · Grand Traverse County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49684 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
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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 20

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

SCOTT STONE CRNA
Nurse Anesthetist, Certified Registered
4100 PARK FOREST DR, SUITE 210
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-5770
MARK V GALAN M.D.
Internal Medicine (Gastroenterology)
4100 PARK FOREST DR, SUITE 208
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-5710
MRS. JESSICA LEE HOORT CRNA
Nurse Anesthetist, Certified Registered
4100 PARK FOREST DR, SUITE 210
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 392-8742
CHRISTINA DALTON PRYDE CRNA
Nurse Anesthetist, Certified Registered
4100 PARK FOREST DR, SUITE 210
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-5770
BRIAN M KIESSLING M.D.
Anesthesiology
4100 PARK FOREST DR, SUITE 210
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-5770
MITCHELL REYNOLDS CRNA
Nurse Anesthetist, Certified Registered
4100 PARK FOREST DR, SUITE 210
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-5770
JONATHAN P GUNSBERG CRNA
Nurse Anesthetist, Certified Registered
4100 PARK FOREST DR, SUITE 210
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-5770
MICHELLE HODGES CRNA
Nurse Anesthetist, Certified Registered
4100 PARK FOREST DR, SUITE 210
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-5770

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 Stahl's NPI number?

The NPI number for Jacob Stahl is 1801209200. It was assigned to this individual provider in the NPPES registry on June 4, 2014.

Where is Jacob Stahl located?

Jacob Stahl practices at 4100 Park Forest Dr Suite 201, Traverse City, MI 49684. The listed phone number is (231) 935-5770.

What is Jacob Stahl's specialty?

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

Is Jacob Stahl enrolled in Medicare?

Yes. Jacob Stahl 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 Stahl's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacob Stahl reassigns Medicare benefits to 3 organizations: Munson Medical Group (Traverse City, MI), Surgery Center Plc (Traverse City, MI) and Munson Medical Center (Traverse City, MI). 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 Stahl's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jacob Stahl accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Jacob Stahl 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 Stahl affiliated with any hospitals?

According to CMS data, Jacob Stahl is affiliated with Munson Medical Center.

When was this NPI record last updated?

The NPPES record for Jacob Stahl was last updated on April 15, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.