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

Jacob Tibbs, CRNA

Individual provider Registered Nurse · NPI 1548901739

Jacob Tibbs, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Princeton, West Virginia. Qualified in 2022, 4 years ago. Practices with Hospitalist Medicine Physicians of West Virginia - South Charleston, a 39-clinician group and accepts Medicare assignment. Licensed in Virginia and West Virginia.

Years since qualifying
4
Licensed in
VA, WV
In the registry since
2022
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

122 12th Street Ext
Princeton, WV 24740-2352
Phone: (304) 487-7000
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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 113030 (WV)
Registered Nurse Taxonomy 163W00000X · Licence 0001282301 (VA)

Record details

NPI number1548901739
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedApril 5, 2022
Last updated in NPPESSeptember 8, 2022
Certification dateSeptember 8, 2022
Mailing addressPo Box 7023, Princeton, WV 24740-0197

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Hospitalist Medicine Physicians Of West Virginia - South Charleston — 39 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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