Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Jared T Holton, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1194210393

Dr. Jared T Holton, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Maryville, Illinois. Qualified in 2018, 8 years ago. Practices with Comprehensive Anesthesia Care PC, a 46-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
8
Licensed in
IL
In the registry since
2018
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

6800 State Route 162
Maryville, IL 62062-8500
Phone: (800) 281-3903
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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 209.017838 (IL)

Record details

NPI number1194210393
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedJune 29, 2018
Last updated in NPPESJune 29, 2018

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Comprehensive Anesthesia Care Pc — 46 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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