Jack Holland, CRNA
NPI 1699755231ActiveIndividual· Nurse Anesthetist, Certified Registered· Heber City, UT
Nurse Anesthetist, Certified Registered (CRNA) in Heber City, Utah, licensed in UT, NC and NV, with an NPI issued in January 2006. Enrolled in Medicare as practitioner - certified registered nurse anesthetist (crna).
Overview
| NPI | 1699755231 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | CRNA |
| Sole proprietor | No |
| NPI issued | Jan 19, 2006 |
| Last updated in NPPES | Oct 26, 2021 |
| Certified by provider | Oct 26, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Anesthetist, Certified Registered Primary | 367500000X | 9809402-4406 | UT |
| Registered Nurse | 163W00000X | 161328 | NC |
| Nurse Anesthetist, Certified Registered | 367500000X | 821399 | NV |
| Nurse Anesthetist, Certified Registered | 367500000X | 053081 | NC |
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) (UT) |
|---|
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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