Individual provider · Type 1 NPI
Jacob R. Ricks, CRNA
Certified Registered Nurse Anesthetist · Bloomington, MN
Practice location
8100 Northland Dr
Bloomington, MN 55431-4800
Mailing address
8170 33rd Ave S, Mailstop 21110Q
Bloomington, MN 55425-4516
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 2066835 (MN) |
| Certified Registered Nurse Anesthetist | 367500000X | AA093040 (ME) |
| Certified Registered Nurse Anesthetist Primary | 367500000X | 14 (MN) |
Certified Registered Nurse Anesthetist: (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 creden…
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About NPI 1083942015
Jacob R. Ricks, CRNA's National Provider Identifier is 1083942015, issued on Dec 2, 2009. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in Bloomington, MN. The record was last updated on Sep 18, 2026.