NPI Lens

Jeremiah Jack, CRNA

NPI 1972995280ActiveIndividual· Nurse Anesthetist, Certified Registered· Vallejo, CA

Nurse Anesthetist, Certified Registered (CRNA) with Permanente Medical Group Inc, practicing in Vallejo, California. Enrolled in Medicare as practitioner - certified registered nurse anesthetist (crna). Lists Kaiser Foundation Hospital and Rehab Center as a hospital affiliation.

Overview

NPI1972995280
StatusActive
Entity typeIndividual
CredentialCRNA
Sole proprietorNo
NPI issuedFeb 24, 2015
Last updated in NPPESDec 30, 2021

Specialties and licenses

TaxonomyCodeLicenseState
Nurse Anesthetist, Certified Registered Primary367500000X95000285CA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Certified Registered Nurse Anesthetist (CRNA) (CA)

Medicare sources and data years

Education and affiliations

Graduation year2014
Medicare specialtyCertified Registered Nurse Anesthetist (Crna)

Medical group

Hospital affiliation

Source: CMS Care Compare

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other Nurse Anesthetist, Certified Registered providers in Vallejo

All Nurse Anesthetist, Certified Registered providers in California →