JACOB SCOTT WREN (NPI# 1154940344) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154940344 |
| Entity Type | Individual |
| Full Name | JACOB SCOTT WREN |
| Credential | DNAP, CRNA |
| Practice Address |
1701 Lacey St Cape Girardeau MO 63701-5230 |
| Mailing Address |
3153 E Main St Jackson MO 63755-2491 |
| Practice Telephone | 5733344822 |
| Mailing Telephone | 5735763313 |
| Enumeration Date | 2020-04-08 |
| Last Update Date | 2020-06-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 2014027783 | MO | Nursing Service Providers |
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 2020017323 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
1701 LACEY ST |
| City | CAPE GIRARDEAU |
| State | MO |
| Zip Code | 63701-5230 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659376234 | Robert Elvie Perry | Internal Medicine | 1701 Lacey St, Cape Girardeau, MO 63701-5230 | 2005-06-20 |
| 1457951279 | William Lee Harris | Nurse Practitioner | 1701 Lacey St, Cape Girardeau, MO 63701-5230 | 2020-10-30 |
| 1376174227 | Ashtin Paige Cohn | Nurse Practitioner | 1701 Lacey St, Cape Girardeau, MO 63701-5230 | 2020-01-30 |
| 1033757992 | Matthew Nanney | Nurse Anesthetist, Certified Registered | 1701 Lacey St, Cape Girardeau, MO 63701-5230 | 2019-12-11 |
| 1689211252 | Southeast Health | Nurse Anesthetist, Certified Registered | 1701 Lacey St, Cape Girardeau, MO 63701-5230 | 2019-12-03 |
| 1184269771 | Amanda M Hill | Registered Nurse | 1701 Lacey St, Medtele, Cape Girardeau, MO 63701 | 2019-11-07 |
| 1205480795 | Brittney Faith Sanford | Registered Nurse | 1701 Lacey St, Cape Girardeau, MO 63701-5230 | 2019-08-01 |
| 1104383017 | Jamie Kristen Rich | Nurse Anesthetist, Certified Registered | 1701 Lacey St, Cape Girardeau, MO 63701-5230 | 2019-02-27 |
| 1417427584 | Michele Cox | Registered Nurse | 1701 Lacey St, Cape Girardeau, MO 63701-5230 | 2018-11-30 |
| 1194201525 | Krystal Allene Ferguson | Registered Nurse | 1701 Lacey St, Cape Girardeau, MO 63701 | 2018-07-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336748110 | Westbrook Dialysis, LLC | Clinic/Center | 140 West Drive, Cape Girardeau, MO 63701 | 2020-10-22 |
| 1972079580 | Savannah Laine Menard | Behavior Technician | 20 S. Sprigg St, Cape Girardeau, MO 63701 | 2018-10-22 |
| 1932690377 | Broadway Specialty, LLC | Pharmacy | 706 Broadway St, Cape Girardeau, MO 63701 | 2018-05-22 |
| 1356864649 | Terri L. Mccord | Pharmacist | 4170 Connor Dr, Cape Girardeau, MO 63701 | 2017-07-19 |
| 1013459312 | Christina Cossou | Nurse Practitioner | 2116 Megan Dr Ste 102, Cape Girardeau, MO 63701 | 2016-11-17 |
| 1124573365 | Ashley Sullivan | Massage Therapist | 3041 Melrose Ave, Cape Girardeau, MO 63701 | 2016-08-17 |
| 1225432172 | Axpm - Merkley, LLC | Dentist | 2116 Megan Dr., Suite 101, Cape Girardeau, MO 63701 | 2014-10-21 |
| 1639573397 | Marian Perez Hurt | Physical Therapist | 2001 N. Kingshighway, Fountainbleau Lodge, Cape Girardeau, MO 63701 | 2014-10-09 |
| 1891194213 | Deanna Abner | Case Manager/Care Coordinator | 20 South Sprigg, Cape Girardeau, MO 63701 | 2014-08-21 |
| 1831506880 | Kwadwo O Britwum | Behavioral Analyst | Morningstar Behavioral Associates, 338 W. Broadway Suite 301, Cape Girardeau, MO 63701 | 2014-07-22 |
| Find all providers in zip 63701 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (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. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013142769 | Jill Christine Benton | Nurse Anesthetist, Certified Registered | 1953 Randol Ave, Cape Girardeau, MO 63701-2320 | 2009-05-26 |
| 1699714337 | Robert Lee Bauer | Nurse Anesthetist, Certified Registered | 319 S Silver Springs Road, Suite A, Cape Girardeau, MO 63703 | 2006-06-06 |
| 1700839925 | Sara Christine Armour | Nurse Anesthetist, Certified Registered | 1701 Lacey, Southeast Health, Cape Girardeau, MO 63701 | 2006-05-18 |
| 1023015468 | Southern Cross Medical Services Inc | Nurse Anesthetist, Certified Registered | 319 S Silver Springs Rd, Ste A, Cape Girardeau, MO 63703 | 2005-06-30 |
| 1033757992 | Matthew Nanney | Nurse Anesthetist, Certified Registered | 1701 Lacey St, Cape Girardeau, MO 63701-5230 | 2019-12-11 |
| 1689211252 | Southeast Health | Nurse Anesthetist, Certified Registered | 1701 Lacey St, Cape Girardeau, MO 63701-5230 | 2019-12-03 |
| 1104383017 | Jamie Kristen Rich | Nurse Anesthetist, Certified Registered | 1701 Lacey St, Cape Girardeau, MO 63701-5230 | 2019-02-27 |
| 1417429341 | Trae Robert Smith | Nurse Anesthetist, Certified Registered | 211 Saint Francis Dr, Cape Girardeau, MO 63703-5049 | 2018-12-17 |
| 1255828638 | Erika Beussink | Nurse Anesthetist, Certified Registered | 1701 Lacey St, Cape Girardeau, MO 63701-5230 | 2018-04-20 |
| 1316444672 | Jennifer Lawless Burchfield | Nurse Anesthetist, Certified Registered | 1701 Lacey St, Cape Girardeau, MO 63701 | 2018-04-12 |
| Find all providers in CAPE GIRARDEAU | ||||
| City | CAPE GIRARDEAU |
| Zip Code | 63701 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.