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

Thomas Joseph Jacobsen

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1285345488

Thomas Joseph Jacobsen is a Certified Registered Nurse Anesthetist (CRNA) in Rio Rancho, New Mexico. Qualified in 2022, 4 years ago. Practices with Main Street Anesthesia of New Mexico, LLC, a 228-clinician group and accepts Medicare assignment. Licensed in New Mexico and Oklahoma.

Years since qualifying
4
Licensed in
NM, OK
In the registry since
2022
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

2400 Unser Blvd SE
Rio Rancho, NM 87124-3392
Phone: (505) 253-7878
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 71305 (NM)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence R0126117 (OK)

Record details

NPI number1285345488
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 8, 2022
Last updated in NPPESFebruary 17, 2023
Certification dateFebruary 17, 2023
Mailing address1808 Nw 177th Ter, Edmond, OK 73012-6931

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Main Street Anesthesia Of New Mexico, Llc — 228 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Rio Rancho