JACOB STAHL CRNA
NPI 1801209200
Nurse Anesthetist, Certified Registered in Traverse City, MI

NPI Status: Active since June 04, 2014

Contact Information

4100 PARK FOREST DR
SUITE 201
TRAVERSE CITY, MI
ZIP 49684
Phone: (231) 935-5770
Fax: (231) 935-0747

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  • Individual
  • Male
  • Years of Experience 12
  • Nurse Anesthetist, Certified Registered
  • Accepts Medicare Approved Payment

About JACOB STAHL

This page provides the complete NPI Profile along with additional information for Jacob Stahl, a provider established in Traverse City, Michigan with a medical specialization in Nurse Anesthetist, Certified Registered and more than 12 years of experience. He graduated from Wayne State University School Of Medicine in 2014. The healthcare provider is registered in the NPI registry with number 1801209200 assigned on June 2014. The practitioner's primary taxonomy code is 367500000X with license number 4704272613 (MI). The provider is registered as an individual and his NPI record was last updated 10 years ago.

NPI
1801209200
Provider Name
JACOB STAHL CRNA
Gender
Male
Entity Type
Individual
Location Address
4100 PARK FOREST DR SUITE 201 TRAVERSE CITY, MI 49684
Location Phone
(231) 935-5770
Location Fax
(231) 935-0747
Mailing Address
4100 PARK FOREST DR SUITE 201 TRAVERSE CITY, MI 49684
Mailing Phone
(231) 935-5770
Mailing Fax
(231) 935-0747
Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year
2014
Is Sole Proprietor?
No
Enumeration Date
06-04-2014
Last Update Date
04-15-2015
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Anesthetist, Certified Registered

Taxonomy Code
367500000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
4704272613
License State
MI
Taxonomy Description
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1801209200MEDICAID (05)MI 
0B86029 032MEDICARE PIN (08) 

Medicare Participation & PECOS Enrollment Status

Jacob Stahl is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • PECOS PAC ID: 1456572635

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20141103000531

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Anesthesia for extensive surgery on spine

Anesthesia for extensive spine surgery involves medication to block pain and make you unconscious during the procedure. It ensures comfort and prevents movement. Two types may be used: general (you sleep) or regional (numbs a large area). The choice depends on the surgery specifics and your health.

This service was performed 18 times for 18 patients

Anesthesia for lens surgery

Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.

This service was performed 52 times for 48 patients

Anesthesia for other procedure on lower leg, ankle, and foot bones

Anesthesia for procedures on lower leg, ankle, and foot bones involves administering medication to block pain and sensation in these areas. This allows doctors to perform necessary treatments or surgeries without causing discomfort. The type of anesthesia used can vary based on the specific procedure.

This service was performed 13 times for 13 patients

Anesthesia for other procedure on skin of arms, legs, and front body

Anesthesia for procedures on the skin of your arms, legs, and front body is a service that numbs the area being treated. This ensures you don't feel pain during procedures like biopsies, stitches, or minor surgeries. It's administered through a small injection or a topical cream.

This service was performed 11 times for 11 patients

Anesthesia for other procedure on urinary system through urethra

Anesthesia for a procedure on the urinary system through the urethra involves using medicine to numb sensation in the area. This is done to ensure you feel no pain or discomfort during the procedure. The medicine can be given locally, regionally, or generally, depending on the specifics of your procedure.

This service was performed 14 times for 14 patients

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $31.53 for a new patient copayment and $17.01 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 49684 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $126.15
  • Minimum New Patient Price $54.34
  • Maximum New Patient Price $166.68
  • Average New Patient Copayment $31.53
  • Minimum New Patient Copayment $13.58
  • Maximum New Patient Copayment $41.67

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $68.07
  • Minimum Established Patient Price $17.09
  • Maximum Established Patient Price $135.4
  • Average Established Patient Copayment $17.01
  • Minimum Established Patient Copayment $4.27
  • Maximum Established Patient Copayment $33.85

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Jacob Stahl is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
MUNSON MEDICAL CENTER1105 SIXTH STREET
TRAVERSE CITY, MI 49684
(231) 935-5000Acute Care Hospitals

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1801209200
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2801401820
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 0 + 1 + 4 + 0 + 1 + 8 + 2 + 0 + 24 = 50
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1801209200 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1285628016DR. DONALD E. KRING JR. D.O.
Individual
Anesthesiology4100 PARK FOREST DR SUITE 210
TRAVERSE CITY, MI 49684
(231) 935-5770
1639164668 BRUCE A BUCHAN CRNA
Individual
Nurse Anesthetist, Certified Registered4100 PARK FOREST DR SUITE 210
TRAVERSE CITY, MI 49684
(231) 935-5770
1164402129 CATHERINE D BUCHAN CRNA
Individual
Nurse Anesthetist, Certified Registered4100 PARK FOREST DR SUITE 210
TRAVERSE CITY, MI 49684
(231) 935-5770
1851467641 KURT SANFORD M.D.
Individual
Internal Medicine (Gastroenterology)4100 PARK FOREST DR SUITE 208
TRAVERSE CITY, MI 49684
(231) 935-5710
1205902095 MONTGOMERY JOHN HEGEWALD M.D.
Individual
Internal Medicine (Gastroenterology)4100 PARK FOREST DR SUITE 208
TRAVERSE CITY, MI 49684
(231) 935-5710
1225104011DIGESTIVE HEALTH ASSOCIATES OF NORTHERN MICHIGAN, P.C.
Organization
Internal Medicine (Gastroenterology)4100 PARK FOREST DR SUITE 208
TRAVERSE CITY, MI 49684
(231) 935-5710
1497821284 ROBERT E BARNES JR. M.D.
Individual
Internal Medicine (Gastroenterology)4100 PARK FOREST DR SUITE 208
TRAVERSE CITY, MI 49684
(231) 935-5710
1164598835 SUZANNE C COFFIN P.A.
Individual
Physician Assistant (Medical)4100 PARK FOREST DR SUITE 208
TRAVERSE CITY, MI 49684
(231) 935-9060
1427119429 REX ANTINOZZI M.D.
Individual
Internal Medicine (Gastroenterology)4100 PARK FOREST DR SUITE 208
TRAVERSE CITY, MI 49684
(231) 935-5710
1770739070TRAVERSE ANESTHESIA ASSOCIATES
Organization
General Acute Care Hospital4100 PARK FOREST DR SUITE 210
TRAVERSE CITY, MI 49684
(231) 935-5770
1982698734 DAVID L. GRANGER CRNA
Individual
Nurse Anesthetist, Certified Registered4100 PARK FOREST DR SUITE 210
TRAVERSE CITY, MI 49684
(231) 935-5770
1619961471 WILLIAM J. HERMANN CRNA
Individual
Nurse Anesthetist, Certified Registered4100 PARK FOREST DR SUITE 210
TRAVERSE CITY, MI 49684
(231) 935-5770
1568456309 SUSAN M EGGL CRNA
Individual
Nurse Anesthetist, Certified Registered4100 PARK FOREST DR SUITE 210
TRAVERSE CITY, MI 49684
(231) 935-5770
1649265661 CHERI L MORIO CRNA
Individual
Nurse Anesthetist, Certified Registered4100 PARK FOREST DR SUITE 210
TRAVERSE CITY, MI 49684
(231) 935-5770
1295720894 THOMAS J. WIGTON CRNA
Individual
Nurse Anesthetist, Certified Registered4100 PARK FOREST DR SUITE 210
TRAVERSE CITY, MI 49684
(231) 935-5770
1871582494 JONATHON FIEBING MD
Individual
Anesthesiology4100 PARK FOREST DR SUITE 210
TRAVERSE CITY, MI 49684
(231) 935-5770
1356330997 VINCENT A MACKE MD
Individual
Anesthesiology4100 PARK FOREST DR SUITE 210
TRAVERSE CITY, MI 49684
(231) 935-5770
1700875325 DAVID RIPPER MD
Individual
Anesthesiology4100 PARK FOREST DR SUITE 210
TRAVERSE CITY, MI 49684
(231) 935-5770
1932198561 ROBERT G CLINE MD
Individual
Anesthesiology4100 PARK FOREST DR SUITE 210
TRAVERSE CITY, MI 49684
(231) 935-5770
1467441014 MARK S MUNRO MD
Individual
Anesthesiology4100 PARK FOREST DR SUITE 210
TRAVERSE CITY, MI 49684
(231) 935-5770

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1801209200, enumerated in the NPI registry as an "individual" on June 04, 2014

The provider is located at 4100 Park Forest Dr Suite 201 Traverse City, Mi 49684 and the phone number is (231) 935-5770

The provider's speciality is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X

The provider has more than 12 years of experience. He graduated from Wayne State University School Of Medicine in 2014.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Medicare beneficiaries should expect a typical cost of $126.15 with an average copayment of $31.53 for new patient appointments. Established patients should expect a typical charge of $68.07 and an average copayment of 17.01. Please review your insurance plan or contact the provider directly to determine your specific costs.

The most common procedures or services performed by this practitioner are: Anesthesia for extensive surgery on spine, Anesthesia for lens surgery, Anesthesia for other procedure on lower leg, ankle, and foot bones, Anesthesia for other procedure on skin of arms, legs, and front body and Anesthesia for other procedure on urinary system through urethra.

The practitioner is affiliated to the following hospital(s): MUNSON MEDICAL CENTER. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on June 04, 2014. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.