Jenny Idicula
NPI 1083291637ActiveIndividual· Nurse Anesthetist, Certified Registered· San Diego, CA
Nurse Anesthetist, Certified Registered in San Diego, California, trained at R Franklin University of Med & Sci/Chicago Medical School (class of 2021). Medicare paid $9,464 for services to 78 patients in 2024.
Overview
| NPI | 1083291637 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Mar 28, 2021 |
| Last updated in NPPES | Jun 12, 2026 |
| Certified by provider | Jun 12, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Anesthetist, Certified Registered Primary | 367500000X | 95002777 | CA |
| Nurse Anesthetist, Certified Registered | 367500000X | 1052820 | TX |
| Registered Nurse | 163W00000X | 860986 | TX |
| Nurse Anesthetist, Certified Registered | 367500000X | RNA253034 | ME |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Certified Registered Nurse Anesthetist (CRNA) (CA); Practitioner - Certified Registered Nurse Anesthetist (CRNA) (ME); Practitioner - Certified Registered Nurse Anesthetist (CRNA) (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 78 |
|---|---|
| Services billed | 79 across 38 procedure codes |
| Paid by Medicare | $9,464 |
Education and affiliations
| Medical school | R Franklin University of Med & Sci/Chicago Medical School |
|---|---|
| Graduation year | 2021 |
| Medicare specialty | Certified Registered Nurse Anesthetist (Crna) |
Medical groups
- MainehealthPortland, ME · 2,633 clinicians
- Regents of the University of CaliforniaSan Diego, CA · 2,089 clinicians
- Dfw Oba PLLCFlower Mound, TX · 24 clinicians
Hospital affiliation
- Mainehealth Maine Medical CenterPortland, ME
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 243 nurse anesthetists in San Diego · All nurse anesthetists in California