Jacob T. Pflum, CRNA
NPI 1588139448ActiveIndividual· Nurse Anesthetist, Certified Registered· Appleton, WI
Nurse Anesthetist, Certified Registered (CRNA) in Appleton, Wisconsin, trained at Rush Medical College of Rush University (class of 2018). Medicare paid $20,482 for services to 109 patients in 2024.
Overview
| NPI | 1588139448 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | CRNA |
| Sole proprietor | No |
| NPI issued | Oct 8, 2018 |
| Last updated in NPPES | Oct 8, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Anesthetist, Certified Registered Primary | 367500000X | 189961-30 | WI |
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) (WI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 109 |
|---|---|
| Services billed | 145 across 33 procedure codes |
| Paid by Medicare | $20,482 |
Education and affiliations
| Medical school | Rush Medical College of Rush University |
|---|---|
| Graduation year | 2018 |
| Medicare specialty | Certified Registered Nurse Anesthetist (Crna) |
Medical group
- Association of Hospital Anesthesiologists SCBerlin, WI · 86 clinicians
Hospital affiliations
- Thedacare Regional Med Ctr - NeenahNeenah, WI
- Thedacare Regional Medical Center - Appleton IncAppleton, WI
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 23 nurse anesthetists in Appleton · All nurse anesthetists in Wisconsin