Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Christopher Thomas Jacob, STUDENT

Individual provider Certified Registered Nurse Anesthetist · NPI 1396388674

Christopher Thomas Jacob, STUDENT is a Certified Registered Nurse Anesthetist (CRNA) in Tavares, Florida. Qualified in 2020, 6 years ago. Practices with US Anesthesia Partners of Florida Inc, a 1,093-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
6
Licensed in
FL
In the registry since
2019
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Practice location Address checks out

1000 Waterman Way
Tavares, FL 32778-5266
Phone: (352) 253-3333
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence APRN11006614 (FL)

Record details

NPI number1396388674
Entity typeIndividual (Type 1)
GenderMale
Credentials STUDENT
Sole proprietorNo
NPI enumeratedOctober 19, 2019
Last updated in NPPESApril 21, 2020
Certification dateApril 21, 2020
Mailing address812 Handsome Cab Ln Apt 104, Melbourne, FL 32940-8252

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Us Anesthesia Partners Of Florida Inc — 1093 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Tavares