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

Jacob Heeter, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1568860187

Jacob Heeter, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Stoughton, Massachusetts. Qualified in 2014, 12 years ago. Practices with Medstream Anesthesia PLLC, a 577-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
12
Licensed in
MA
In the registry since
2014
Specialties on file
2
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

907 Sumner St Ste M201 Guardian Anesthesia Inc
Stoughton, MA 02072
Phone: (781) 344-2325
Fax: (781) 341-8544
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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 2297563 (MA)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence RN2297563 (MA)

Record details

NPI number1568860187
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedDecember 13, 2014
Last updated in NPPESJuly 29, 2016
Mailing address1229 Madison St, Ste 1440, Seattle, WA 98104-3538

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Medstream Anesthesia Pllc — 577 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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