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

Individual provider Certified Registered Nurse Anesthetist · NPI 1639790306

Jacob Wayne, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Hartford, Connecticut. Qualified in 2020, 6 years ago. Practices with Integrated Anesthesia Associates LLC, a 402-clinician group and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
6
Licensed in
CT
In the registry since
2020
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

80 Seymour St
Hartford, CT 06102-8000
Phone: (860) 545-5000
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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 91147 (CT)

Record details

NPI number1639790306
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedMay 4, 2020
Last updated in NPPESMay 4, 2020
Certification dateMay 4, 2020
Mailing address99 East River Drive, 5th Floor, East Hartford, CT 06108

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 Integrated Anesthesia Associates Llc — 402 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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