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

Jacob Daniel Carlson

Individual provider Certified Registered Nurse Anesthetist · NPI 1417579368

Jacob Daniel Carlson is a Certified Registered Nurse Anesthetist (CRNA) in Overland Park, Kansas. Qualified in 2020, 6 years ago. Practices with Anesthesia Associates of Kansas City PA, a 216-clinician group and accepts Medicare assignment. Licensed in Kansas, Missouri and South Dakota.

Years since qualifying
6
Licensed in
KS, MO, SD
In the registry since
2020
Specialties on file
3
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Practice location Address checks out

10500 Quivira Rd
Overland Park, KS 66215-2373
Phone: (913) 541-5000
Fax: (913) 428-2951
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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 43-557795-102 (KS)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 2020014043 (MO)
Registered Nurse Taxonomy 163W00000X · Licence R046087 (SD)

Record details

NPI number1417579368
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 14, 2020
Last updated in NPPESApril 8, 2026
Certification dateApril 8, 2026
Mailing address8717 W 110th St Ste 600, Overland Park, KS 66210-2126

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 Anesthesia Associates Of Kansas City Pa — 216 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Overland Park