Jacob David Sandefur, CRNA
NPI 1770212417ActiveIndividual· Nurse Anesthetist, Certified Registered· La Grande, OR
Nurse Anesthetist, Certified Registered (CRNA) with Grande Ronde Hospital Inc and 2 other groups, practicing in La Grande, Oregon. Medicare paid $15,122 for services to 102 patients in 2024. Merck Sharp & Dohme LLC reported $21.43 in payments in 2025, mostly food and beverage. Lists Grande Ronde Hospital and 1 other hospital as hospital affiliations.
Overview
| NPI | 1770212417 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | CRNA |
| Sole proprietor | Yes |
| NPI issued | Jun 8, 2022 |
| Last updated in NPPES | Sep 23, 2022 |
| Certified by provider | Jul 12, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Anesthetist, Certified Registered Primary | 367500000X | 202214569CRNAPP | OR |
| Registered Nurse | 163W00000X | 239503 | TN |
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) (OR); Practitioner - Certified Registered Nurse Anesthetist (CRNA) (WA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 102 |
|---|---|
| Services billed | 110 across 37 procedure codes |
| Paid by Medicare | $15,122 |
Education and affiliations
| Graduation year | 2022 |
|---|---|
| Medicare specialty | Certified Registered Nurse Anesthetist (Crna) |
Medical groups
- Grande Ronde Hospital IncLa Grande, OR · 97 clinicians
- Advanced Anesthesia Services PLLCBellingham, WA · 40 clinicians
- Evergreen Anesthesia Associates LLCSunnyside, WA · 27 clinicians
Hospital affiliations
- Grande Ronde HospitalLa Grande, OR
- Kittitas Valley Community HospitalEllensburg, WA
Industry payments (Open Payments)
- 2025$21.43 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Merck Sharp & Dohme LLC | $21.43 | 1 |
What the 2025 payments were for
- Food and Beverage$21.43 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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