Jacob Douglas Vermeer
NPI 1679218721ActiveIndividual· Nurse Anesthetist, Certified Registered· Maywood, IL
Nurse Anesthetist, Certified Registered with Avera St Marys and 2 other groups, practicing in Maywood, Illinois. Medicare paid $4,421 for services to 45 patients in 2024. Lists Avera St Mary's Hospital and 1 other hospital as hospital affiliations.
Overview
| NPI | 1679218721 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | May 3, 2022 |
| Last updated in NPPES | Jul 9, 2025 |
| Certified by provider | Jul 9, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Anesthetist, Certified Registered Primary | 367500000X | 209030380 | IL |
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) (IL); Practitioner - Certified Registered Nurse Anesthetist (CRNA) (SD) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 45 |
|---|---|
| Services billed | 51 across 23 procedure codes |
| Paid by Medicare | $4,421 |
Education and affiliations
| Graduation year | 2018 |
|---|---|
| Medicare specialty | Certified Registered Nurse Anesthetist (Crna) |
Medical groups
- Avera St MarysPierre, SD · 97 clinicians
- Ireland Anesthesia Management LLCChicago, IL · 16 clinicians
- Stellar Anesthesia Specialists PLLCChicago, IL · 11 clinicians
Hospital affiliations
- Avera St Mary's HospitalPierre, SD
- Loyola Gottlieb Memorial HospitalMelrose Park, IL
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 53 nurse anesthetists in Maywood · All nurse anesthetists in Illinois