1. Home
  2. Directory
  3. Missouri
  4. Poplar Bluff
  5. Nurse Anesthetist Certified Registered
  6. NPI Profile

JACOB J BRISCOE CRNA
NPI 1972736551
Nurse Anesthetist, Certified Registered in Poplar Bluff, MO

Active since August 28, 2009Accepts Medicare Assignment
92.5/100
CMS Quality Rating
3100 OAK GROVE RD, POPLAR BLUFF, MO 63901(573) 776-2000 Get Directions Write a Review

NPPES record last updated: September 9, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 9, 2024, Jun 8, 2020, Mar 21, 2019 (3 updates tracked since 2019).

About Jacob J Briscoe Crna NPPES

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

JACOB J BRISCOE CRNA (NPI 1972736551) is an individual nurse anesthetist, certified registered in Poplar Bluff, Missouri, licensed in Missouri (2024007928) and active in the NPI registry since August 2009. He is affiliated with West Tennessee Healthcare Milan Hospital and is a graduate of Other (2009).

NPPES Registry Identity

NPI1972736551
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameJACOB J BRISCOECredential: CRNA
Location Address3100 OAK GROVE RDPoplar Bluff, MO 63901-1573
Mailing Address1201 Hamer RdDyersburg, TN 38024-6908 · (309) 210-6650
Phone(573) 776-2000
Sole ProprietorYes
Medical School CMSOtherGraduated 2009
Enumeration DateAugust 28, 2009
Last NPPES UpdateSeptember 9, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2024
✔ NPI 1972736551 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
Licenses✔ Licensed in MO · 2024007928✔ Licensed in IL · 041341872✔ Licensed in IL · 209007627
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.
3100 OAK GROVE RD, Poplar Bluff, MO 63901
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Health Advantage, Octave.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 J Briscoe 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 ID547316713
PECOS Enrollment IDI20170811003030, I20250715004377

Medicare Billing Reassignments

7

Medicare enrollment records show Jacob Briscoe reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Capital Anesthesia Solutions Of Missouri LLC
0.1 mi
Anesthesiology
3100 OAK GROVE RD
Rombauer, MO 63901
  • Reassigned Medicare billing, Missouri enrollment
  • 217 clinicians in this Medicare group
NPI 1770185472 (239) 610-0775
Piggott Community Hospital
30 mi
Emergency Medical Services
1206 GORDON DUCKWORTH DR
Piggott, AR 72454
  • Reassigned Medicare billing, Arkansas enrollment
  • Also billed through NPI 1891781837 (Arkansas)
  • 38 clinicians in this Medicare group
NPI 1871555185 (870) 598-3881
Mississippi County Hospital System
65 mi
Anesthesiology
1520 N DIVISION ST, ANESTHESIA DEPARTMENT
Blytheville, AR 72315
  • Reassigned Medicare billing, Arkansas enrollment
  • Also billed through NPI 1164720868 (Arkansas)
  • 11 clinicians in this Medicare group
NPI 1376844878 (870) 838-7300
Kentenn Anesthesia
82 mi
Nurse Anesthetist, Certified Registered
1109 E REELFOOT AVE, SUITE B
Union City, TN 38261
  • Reassigned Medicare billing, Tennessee enrollment
  • 20 clinicians in this Medicare group
NPI 1346511011 (731) 884-0600
Medical Center Anesthesia Inc.
120 mi
Anesthesiology
620 SKYLINE DR
Jackson, TN 38301
  • Reassigned Medicare billing, Tennessee enrollment
  • 190 clinicians in this Medicare group
NPI 1447591730 (833) 500-9913
Rural Health Pain Management LLC
122 mi
Pain Medicine
1601 NEW CASTLE RD
Forrest City, AR 72335
  • Reassigned Medicare billing, Arkansas, Missouri and Tennessee enrollments
  • 40 clinicians in this Medicare group
NPI 1265039556 (870) 261-0000
Northstar Anesthesia Of Tennessee, PLLC
273 mi
Anesthesiology
1559 SPARTA ST
Mcminnville, TN 37110
  • Reassigned Medicare billing, Tennessee enrollment
  • 75 clinicians in this Medicare group
NPI 1821390451 (817) 861-3994

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 4

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 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.
30 services30 patients
Anesthesia for procedure on small and large bowel using an endoscope 00813
Anesthesia for an endoscopic procedure on the small and large bowel ensures comfort and relaxation during the procedure. It involves administering medicine to help you sleep or feel drowsy. This allows the doctor to examine your bowels without causing you discomfort or pain.
27 services27 patients
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.
18 services18 patients
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.
18 services18 patients

Hospital Affiliations CMS Care Compare 2

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

West Tennessee Healthcare Milan Hospital

Acute Care Hospitals · Milan, TN
OwnershipGovernment - Local
CMS Certification Number440060
Location4039 Highland StMilan, TN 38358 · Gibson County
Emergency services

Volunteer Community Hospital

Acute Care Hospitals · Martin, TN
4/5 CMS rating
OwnershipProprietary
CMS Certification Number440061
Location161 Mount Pelia RdMartin, TN 38237 · Weakley County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63901 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
$121.96 typical visit price
range $52.28 – $161.24
Typical copayment $30.49 (range $13.07 – $40.31)
Most-billed visit code 99204
Established Patient
$65.71 typical visit price
range $16.30 – $131.05
Typical copayment $16.42 (range $4.07 – $32.76)
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.

92.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85
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.

JOSHUA RYAN MORSE
Nurse Anesthetist, Certified Registered
3100 OAK GROVE RD
POPLAR BLUFF, MO 63901
Butler County (573) 776-2000
HANUMANTH K REDDY M.D
Internal Medicine (Interventional Cardiology)
3100 OAK GROVE RD
POPLAR BLUFF, MO 63901
Butler County (573) 776-2600
DR. ALEXANDROS GEORGOLIOS MD
Otolaryngology
3100 OAK GROVE RD
POPLAR BLUFF, MO 63901
Butler County (573) 778-2600
POPLAR BLUFF REGIONAL MEDICAL CENTER
Clinical Medical Laboratory
3100 OAK GROVE RD
POPLAR BLUFF, MO 63901
Butler County (573) 686-5311
MATTHEW GENE PULLEY NP
Nurse Practitioner
3100 OAK GROVE RD
POPLAR BLUFF, MO 63901
Butler County (573) 776-2000
DANIELLE NICHOLE FARMER OTR/L
Occupational Therapist
3100 OAK GROVE RD
POPLAR BLUFF, MO 63901
Butler County (573) 776-2000
SILVIA PAGOADA VALLECILLO M.D.
Family Medicine
3100 OAK GROVE RD
POPLAR BLUFF, MO 63901
Butler County (573) 776-2000
DEREK WAYNE GRUBBS DO
Student in an Organized Health Care Education/Training Program
3100 OAK GROVE RD
POPLAR BLUFF, MO 63901
Butler County (573) 776-9752

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 Briscoe's NPI number?

The NPI number for Jacob Briscoe is 1972736551. It was assigned to this individual provider in the NPPES registry on August 28, 2009.

Where is Jacob Briscoe located?

Jacob Briscoe practices at 3100 Oak Grove Rd, Poplar Bluff, MO 63901. The listed phone number is (573) 776-2000.

What is Jacob Briscoe's specialty?

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

Is Jacob Briscoe enrolled in Medicare?

Yes. Jacob Briscoe 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 Briscoe's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacob Briscoe reassigns Medicare benefits to 7 organizations: Capital Anesthesia Solutions Of Missouri LLC (Rombauer, MO), Piggott Community Hospital (Piggott, AR), Mississippi County Hospital System (Blytheville, AR), Kentenn Anesthesia (Union City, TN), Medical Center Anesthesia Inc. (Jackson, TN) and 2 more organizations, listed in the Medicare section above. 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 Briscoe's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jacob Briscoe accept?

Health plans from Cigna Healthcare, Health Advantage and Octave list Jacob Briscoe 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 Briscoe affiliated with any hospitals?

According to CMS data, Jacob Briscoe is affiliated with West Tennessee Healthcare Milan Hospital and Volunteer Community Hospital.

When was this NPI record last updated?

The NPPES record for Jacob Briscoe was last updated on September 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.