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

Individual provider Certified Registered Nurse Anesthetist · NPI 1508824905

Michael D Jacob, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Indianapolis, Indiana. Qualified in 1998, 28 years ago. Practices with Northern Indiana Anesthesia Associates, LLC, a 10-clinician group and accepts Medicare assignment. Licensed in Indiana and Tennessee.

Years since qualifying
28
Licensed in
IN, TN
In the registry since
2006
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 may be wrong

The ZIP code does not match the city and state on this record. Call before visiting.

7150 Clearvista Dr
Indianapolis, IN 37043
Phone: (317) 621-5890
Fax: (317) 355-2205
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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 28181433A (IN)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 103360 (TN)

Record details

NPI number1508824905
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedMay 3, 2006
Last updated in NPPESJuly 21, 2015

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Northern Indiana Anesthesia Associates, Llc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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