James Jacob
NPI 1164039855ActiveIndividual· Nurse Anesthetist, Certified Registered· Mineola, NY
Nurse Anesthetist, Certified Registered with New York University and 2 other groups, practicing in Mineola, New York. Medicare paid $24,977 for services to 198 patients in 2024. Lists Mercy Medical Center and 1 other hospital as hospital affiliations.
Overview
| NPI | 1164039855 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Sep 26, 2020 |
| Last updated in NPPES | Sep 26, 2020 |
| Certified by provider | Sep 21, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Anesthetist, Certified Registered Primary | 367500000X | 632221 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Certified Registered Nurse Anesthetist (CRNA) (NY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 198 |
|---|---|
| Services billed | 198 across 56 procedure codes |
| Paid by Medicare | $24,977 |
Education and affiliations
| Graduation year | 2020 |
|---|---|
| Medicare specialty | Certified Registered Nurse Anesthetist (Crna) |
Medical groups
- New York UniversityNew York, NY · 6,134 clinicians
- Chs Physician Partners PCRoslyn, NY · 743 clinicians
- New York Cardiovascular Anesthesiologists, P.C.Roslyn, NY · 134 clinicians
Hospital affiliations
- Mercy Medical CenterRockville Centre, NY
- NYU Langone HospitalsNew York, NY
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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