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

Jacob Kyle Anderson, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1710494687

Jacob Kyle Anderson, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Roanoke, Virginia. Practices with Carilion Professional Services LLC, a 86-clinician group and accepts Medicare assignment. Licensed in Virginia.

Licensed in
VA
In the registry since
2018
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

1906 Belleview Ave SE
Roanoke, VA 24014-1838
Phone: (540) 958-8000
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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 0024175752 (VA)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 118744 (VA)

Record details

NPI number1710494687
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedJanuary 2, 2018
Last updated in NPPESAugust 9, 2022
Certification dateAugust 9, 2022

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolVIRGINIA COMMONWEALTH UNIVERSITY, SCHOOL OF MEDICINE
Group practice Carilion Professional Services Llc — 86 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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