Jacob Kyle Anderson, CRNA
NPI 1710494687ActiveIndividual· Nurse Anesthetist, Certified Registered· Roanoke, VA
Nurse Anesthetist, Certified Registered (CRNA) in Roanoke, Virginia, trained at Virginia Commonwealth University, School of Medicine. Medicare paid $9,012 for services to 93 patients in 2024. Philips North America LLC reported $21.34 in payments in 2024, mostly food and beverage.
Overview
| NPI | 1710494687 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | CRNA |
| Sole proprietor | No |
| NPI issued | Jan 2, 2018 |
| Last updated in NPPES | Aug 9, 2022 |
| Certified by provider | Aug 9, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Anesthetist, Certified Registered Primary | 367500000X | 0024175752 | VA |
| Nurse Anesthetist, Certified Registered | 367500000X | 118744 | VA |
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) (VA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 93 |
|---|---|
| Services billed | 95 across 33 procedure codes |
| Paid by Medicare | $9,012 |
Education and affiliations
| Medical school | Virginia Commonwealth University, School of Medicine |
|---|---|
| Medicare specialty | Certified Registered Nurse Anesthetist (Crna) |
Medical group
- Carilion Professional Services LLCRocky Mount, VA · 85 clinicians
Hospital affiliations
- Carilion Franklin Memorial HospitalRocky Mount, VA
- Carilion Medical CenterRoanoke, VA
- Carilion Stonewall Jackson HospitalLexington, VA
Industry payments (Open Payments)
- 2024$21.34 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Philips North America LLC | $21.34 | 1 |
What the 2024 payments were for
- Food and Beverage$21.34 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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