Michael Jack, CRNA
NPI 1629023288 · Certified Registered Nurse Anesthetist · Joplin, MO
Michael Jack, CRNA is a Certified Registered Nurse Anesthetist provider in Joplin, MO (NPI 1629023288).
Provider details
- NPI number
- 1629023288
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CRNA
- Sex
- Male
- Sole proprietor
- No
- License
- 083875 (MO)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-05-23
- Last updated
- 2007-10-23
Frequently asked questions
- What is Michael Jack's NPI number?
- Michael Jack's National Provider Identifier (NPI) is 1629023288, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Michael Jack's specialty?
- Michael Jack is listed in the NPPES registry with a primary specialty of Certified Registered Nurse Anesthetist (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Michael Jack located?
- Michael Jack's practice location on file with NPPES is 1102 W 32nd St, Joplin, MO 64804.
- What is Michael Jack's phone number?
- The practice phone number listed in the NPPES registry for Michael Jack is (417) 347-1078.
- Is Michael Jack's NPI active?
- Yes — Michael Jack's NPI (1629023288) is active in the NPPES registry as of the last update on 2007-10-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.