Jacqueline Otake
NPI 1720769763ActiveIndividual· Nurse Anesthetist, Certified Registered· Albuquerque, NM
Nurse Anesthetist, Certified Registered with Professional Anesthesia Services of Kentucky PLLC and 1 other group, practicing in Albuquerque, New Mexico. Medicare paid $4,971 for services to 26 patients in 2024. Lists Baptist Health Louisville and 2 other hospitals as hospital affiliations.
Overview
| NPI | 1720769763 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Jul 31, 2023 |
| Last updated in NPPES | Jul 16, 2026 |
| Certified by provider | Jul 16, 2026 |
| Reactivated | Aug 29, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Anesthetist, Certified Registered Primary | 367500000X | 1229584 | TX |
| Nurse Anesthetist, Certified Registered | 367500000X | 80042 | NM |
| Nurse Anesthetist, Certified Registered | 367500000X | 114672-23 | NH |
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) (ID); Practitioner - Certified Registered Nurse Anesthetist (CRNA) (KY); Practitioner - Certified Registered Nurse Anesthetist (CRNA) (NH); Practitioner - Certified Registered Nurse Anesthetist (CRNA) (NM); Practitioner - Certified Registered Nurse Anesthetist (CRNA) (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 26 |
|---|---|
| Services billed | 38 across 15 procedure codes |
| Paid by Medicare | $4,971 |
Education and affiliations
| Graduation year | 2024 |
|---|---|
| Medicare specialty | Certified Registered Nurse Anesthetist (Crna) |
Medical groups
- Professional Anesthesia Services of Kentucky PLLCLouisville, KY · 352 clinicians
- Anesthesia Care Group PCExeter, NH · 34 clinicians
Hospital affiliations
- Baptist Health LouisvilleLouisville, KY
- Exeter Hospital IncExeter, NH
- Houston Methodist Sugarland HospitalSugar Land, TX
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 150 nurse anesthetists in Albuquerque · All nurse anesthetists in New Mexico