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

Jared Crocker, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1114442324

Jared Crocker, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Leitchfield, Kentucky. Qualified in 2017, 9 years ago. Practices with Conoloway Anesthesia PLLC, a 6-clinician group. Licensed in Kentucky.

Years since qualifying
9
Licensed in
KY
In the registry since
2017
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

See every abbreviation used in this directory →

Practice location Address checks out

910 Wallace Ave
Leitchfield, KY 42754-2414
Phone: (270) 274-0480
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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 3013154 (KY)

Record details

NPI number1114442324
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedAugust 8, 2017
Last updated in NPPESFebruary 25, 2019
Mailing address119 John Austin Ln, Mt Washington, KY 40047-6349

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Conoloway Anesthesia Pllc — 6 clinicians
Accepts Medicare assignment Not indicated

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