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

Jacob Daniel Carlson

Individual provider Certified Registered Nurse Anesthetist · NPI 1417579368

Jacob Daniel Carlson is a Certified Registered Nurse Anesthetist (CRNA) in Overland Park, Kansas. Qualified in 2020, 6 years ago. Practices with Anesthesia Associates of Kansas City PA, a 216-clinician group and accepts Medicare assignment. Licensed in Kansas, Missouri and South Dakota.

Years since qualifying
6
Licensed in
KS, MO, SD
In the registry since
2020
Specialties on file
3
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

10500 Quivira Rd
Overland Park, KS 66215-2373
Phone: (913) 541-5000
Fax: (913) 428-2951
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 43-557795-102 (KS)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 2020014043 (MO)
Registered Nurse Taxonomy 163W00000X · Licence R046087 (SD)

Record details

NPI number1417579368
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 14, 2020
Last updated in NPPESApril 8, 2026
Certification dateApril 8, 2026

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Anesthesia Associates Of Kansas City Pa — 216 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Overland Park