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

Mr. Jacob William Thompson, DNP, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1972174217

Mr. Jacob William Thompson, DNP, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Phoenix, Arizona. Qualified in 2024, 2 years ago. Practices with Banner Hospital Based Physicians Arizona LLC, a 641-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
2
Licensed in
AZ
In the registry since
2021
What do these letters mean?
DNP — Doctor of Nursing Practice
The highest clinical degree in nursing.
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

19820 N 7th St
Phoenix, AZ 85024-1689
Phone: (623) 320-0660
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 309108 (AZ)

Record details

NPI number1972174217
Entity typeIndividual (Type 1)
GenderMale
Credentials DNP , CRNA
Sole proprietorYes
NPI enumeratedJuly 7, 2021
Last updated in NPPESJuly 19, 2024
Certification dateJuly 19, 2024

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Banner Hospital Based Physicians Arizona Llc — 641 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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