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

Individual provider Certified Registered Nurse Anesthetist · NPI 1104114073

Jason Lee Ricks, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Joplin, Missouri. Qualified in 2011, 15 years ago. Practices with Premier Anesthesia of Arkansas Professional Corporation, a 88-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
15
Licensed in
MO
In the registry since
2011
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

2817 Saint Johns Blvd Anesthesia Dept
Joplin, MO 64804-1563
Phone: (417) 781-2727
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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 2011020379 (MO)

Record details

NPI number1104114073
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedJuly 13, 2011
Last updated in NPPESFebruary 17, 2012
Mailing address2817 Saint Johns Blvd, Anesthesia Dept, Joplin, MO 64804-1563

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Premier Anesthesia Of Arkansas Professional Corporation — 88 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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