Michael Jack, CRNA

ActiveIndividual ProviderNurse Anesthetist
NPI issued: May 23, 2006

Quick Facts

NPI Number
1629023288
TypeIndividual
StatusActive
SpecialtyNurse Anesthetist
Taxonomy367500000X — Nurse Anesthetist
Phone
(417) 347-1078
StateMO

NPI Validation Status: Verified

Valid 10-digit NPI number (1629023288)
Active status confirmed
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (May 23, 2006)
Data source: CMS NPPES

Provider Overview

MICHAEL JACK, CRNA is a Nurse Anesthetist provider based in Joplin, MO who has been registered with CMS since 2006. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1629023288
Provider TypeIndividual Provider
GenderMale
CredentialCRNA
StatusActive
Enumeration DateMay 23, 2006

Practice Location

CityJoplin
StateMO
ZIP Code64804
Phone(417) 347-1078

Specialties & Licenses

★ Primary
SpecialtyNurse Anesthetist
Taxonomy Code367500000X
License StateMO

Mailing Address

CityJoplin
StateMO
ZIP Code64804
Phone(417) 347-1078
Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1629023288 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1629023288for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1629023288 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Nurse Anesthetist

Specialists in Nurse Anesthetist provide expert clinical care within their specific domain, focusing on the diagnosis, treatment, and management of conditions relevant to their field of practice.

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68,489
Nurse Anesthetist Providers in the US

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People Also Ask

What is Michael Jack's NPI number?
Michael Jack's NPI number is 1629023288, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Michael Jack's NPI currently active?
Yes, Michael Jack's NPI status is Active as of the latest CMS NPPES database updates.
What does Michael Jack specialize in?
Michael Jack specializes in Nurse Anesthetist. The healthcare taxonomy code associated with this specialty is 367500000X.
Where does Michael Jack practice?
Michael Jack practices in Joplin, MO 64804.
When was Michael Jack's NPI issued?
Michael Jack's NPI was issued on May 23, 2006.
What is Michael Jack's provider type?
Michael Jack is registered as an Individual Provider under CMS NPI Type 1.