Jake Martin Penick, CRNA
Certified Registered Nurse Anesthetist · Jackson, MS
Jake Martin Penick, CRNA is a certified registered nurse anesthetist with a practice address in Jackson, Mississippi, and NPI 1376306480, issued on Feb 1, 2024. Check the license (Mississippi 901900, as entered in NPPES) with the Mississippi board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Jake Martin Penick
- Credential
- CRNA
- Primary taxonomy
- Certified Registered Nurse Anesthetist 367500000X
- License number
- 901900 MS
Self-reported in NPPES; status is on the state search - Practice location
- 1225 N State St, Jackson, MS 39202
- Phone
- (601) 968-1000
- Enumerated
- Feb 1, 2024
- Record last updated
- Feb 7, 2024
- Medicare enrollment
- Enrolled (PECOS I20240318000380); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest certified registered nurse anesthetist records → All 840 in Mississippi → Look up another NPI →
Also registered at 1225 N State St
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Abdu Mohamed Abdallah Ahmed, MDFamily Medicine Physician1851824171
- Cantrell AndersonPsychiatric/Mental Health Nurse Practitioner1780356212
- Anamaria Andrei, M.DAnatomic Pathology & Clinical Pathology Physician1285829200
- Jadeline Anyumba-Mitema, MDInternal Medicine Physician1457873812
- Brianna Arrington, MDHospitalist Physician1194353391
- Anthony Ashmore, MDInternal Medicine Physician1447830237
Verify Jake Martin Penick in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Mississippi board licenses this profession
Search for license 901900Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Industry payments in 2024: $16.89
1 payment: food and beverage; the largest payer was Merck Sharp & Dohme LLC. The 24,076 providers of this specialty with any payment received $135.08 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Perioperative Services OF Mississippi, LLCBrandon, MS
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Jake Martin Penick among 840 certified registered nurse anesthetist records in Mississippi
Jake Martin Penick, CRNA is one of 840 certified registered nurse anesthetist records with a practice address in Mississippi. 84% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2024, is newer than 91% of them.
- NPI issued2024 · 91% of these records are older, 5% newer
- In a Medicare fileYes · 84% of these records are
- In the CMS Doctors and Clinicians fileYes · 80% of these records are
- Graduated2023 · median 2011 among the 669 with a school on file
- Record last updated2024 · 71% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 367500000X and a Mississippi practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
174 certified registered nurse anesthetist records list a practice address in Jackson
They are 174 of the 6,997 NPPES records with a practice address in Jackson, and 840 certified registered nurse anesthetist records in Mississippi.
All 840 in Mississippi → Every provider in Jackson → Certified Registered Nurse Anesthetist nationwide →
The 8 certified registered nurse anesthetist records with the nearest ZIP codes
- Stanley Bassett, CRNAJackson, MS 392021619061884
- Jason Butler, CRNAJackson, MS 392021639440316
- Jessica Cody, CRNAJackson, MS 392021861043531
- Joseph Davis, CRNAJackson, MS 392021730511064
- Jackie Fortenberry, CRNAJackson, MS 392021609902337
- Mary Gravel, CRNAJackson, MS 392021881849651
- Maury Hallman, CRNAJackson, MS 392021174763122
- Ance Hawkins, CRNAJackson, MS 392021073578084
Common questions
What is Jake Martin Penick, CRNA's NPI number?
Jake Martin Penick, CRNA's National Provider Identifier (NPI) is 1376306480, issued on Feb 1, 2024. An NPI identifies a provider in billing; it is not a license.
Where is Jake Martin Penick, CRNA located?
The NPPES record lists a practice address at 1225 N State St, Jackson, MS, 39202. Phone: (601) 968-1000. Providers update this record themselves, so call before visiting.
How can I verify Jake Martin Penick, CRNA's license?
NPPES lists Mississippi license number 901900, as entered by the provider. Search the Mississippi board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.