Jerry Jacob, CRNA
NPI 1538571799ActiveIndividual· Nurse Anesthetist, Certified Registered· Rocky Point, NY
Nurse Anesthetist, Certified Registered (CRNA) in Rocky Point, New York, trained at Columbia University College of Physicians and Surgeons (class of 2014). Medicare paid $8,066 for services to 67 patients in 2024.
Overview
| NPI | 1538571799 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | CRNA |
| Sole proprietor | No |
| NPI issued | May 22, 2014 |
| Last updated in NPPES | May 29, 2025 |
| Certified by provider | May 28, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Anesthetist, Certified Registered Primary | 367500000X | APRN9384865 | FL |
| Anesthesiology | 207L00000X | 573032 | NY |
| Nurse Anesthetist, Certified Registered | 367500000X | 105943 | 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) (FL); Practitioner - Certified Registered Nurse Anesthetist (CRNA) (NY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 67 |
|---|---|
| Services billed | 68 across 28 procedure codes |
| Paid by Medicare | $8,066 |
Education and affiliations
| Medical school | Columbia University College of Physicians and Surgeons |
|---|---|
| Graduation year | 2014 |
| Medicare specialty | Certified Registered Nurse Anesthetist (Crna) |
Medical groups
- Icahn School of Medicine at Mount SinaiOceanside, NY · 176 clinicians
- Manhattan Medical Practice PCSmithtown, NY · 7 clinicians
Hospital affiliation
- Mount Sinai South NassauOceanside, 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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