P Praxis·MD
● Active Type 1 · Individual

MR. Jacob L Crosby, CRNA

Nurse Anesthetist, Certified Registered·Idaho Falls, ID· NPI 1578721544 · Enumerated 2008 · 17 years on NPI
Crosby is 1 of 60 nurse anesthetist, certified registered providers in Idaho Falls and 1 of 575 in Idaho.
NPI age
17 years
Enumerated 2008-05-27
Primary specialty
Nurse Anesthetist, Certified Registered
Plus 4 subspecialties
Licensed in
ID, KS, UT, WY
4 states
Status
Active
No deactivations on record
Last NPPES update
2019-10-11
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 575 active nurse anesthetist, certified registered providers in Idaho.

NPI age
17 years
↑ 2 yr above median (15 yr)
State licenses
4 states
Top 81% — 18% of peers are multi-state
Subspecialties
1
In the 32% of peers with subspecialties

NPI lifetime · 2008 → 2026

2008-05Enumerated in NPPES
2008 2026

Where they practice

Practice location
3100 Channing Way
Idaho Falls, ID 83404
📞 8664870277fax 7707016674
Mailing address
Po Box 94289, MS 631130
Seattle, WA 981240618
📞 8664870277fax 7707016676

Additional practice locations

1 secondary location on file with NPPES.

Location 2
3100 Channing Way
Idaho Falls, ID 83404
📞 8664870277fax 7707016674

Specialties

  • Nurse Anesthetist, Certified Registered Primary
    (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...
    ID license #62128KS license #55640WY license #268930997 taxonomy 367500000X
  • Registered Nurse
    (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or...
    KS license #14-103663-111UT license #501146-3102 taxonomy 163W00000X

Practice context

Part of a multi-provider practice. 240 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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