Vanessa Rae Jackson, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

557350 Issued in KS

Practice address

721 NE 82ND Ter
Kansas City, MO 64118-1332

Phone

(816) 646-1242

NPI assigned

Jul 10, 2015

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS, MO2 enrollments

Enrollment records 2

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

University of Kansas School of Med (KC/Wich/Sal), 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Heartland Regional Medical CenterGroup PAC ID 6709772767, 394 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

Practice roles

Locations (25 of 27)

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Heartland Regional Medical Center

  • General Practice Physician
  • Saint Joseph, MO
  • NPI 1477575405
  Medicare reassignment Care Compare group NPD
• Digestive Health Specialists, LLC

  • Gastroenterology Physician
  • Independence, MO
  • NPI 1801286844
  Medicare reassignment NPD
• Eye Care, LLC

  • Ophthalmology Physician
  • Harrisonville, MO
  • NPI 1609066034
  Medicare reassignment NPD
• Excel Anesthesia, LLC

  • Certified Registered Nurse Anesthetist
  • Leawood, KS
  • NPI 1366559130

  MO, Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Eye Care, LLC

  • Optometrist
  • Leawood, KS
  • NPI 1881884211
  Medicare reassignment NPD
• Ottawa Anesthesia LLC

  • Certified Registered Nurse Anesthetist
  • Ottawa, KS
  • NPI 1952372450
  Medicare reassignment
• Eye Care LLC

  • Ophthalmology Physician
  • Independence, MO
  • NPI 1750374567
  NPD
• Eye Care, LLC

  • Optometrist
  • Raymore, MO
  • NPI 1023597127
  NPD
• Heartland Regional Medical Center

  • Rehabilitation Hospital Unit
  • Saint Joseph, MO
  • NPI 1841385093
  NPD
• Consultants in Gastroenterology, PC

  • Specialist
  • Independence, MO
  • NPI 1932189768
  NPD (past)
• Dynamos Anesthesia Services LLC

  • Anesthesiology Physician
  • Leavenworth, KS
  • NPI 1639719180

  Nurse Anesthetist, Certified Registered

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1436486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728432000000",
    "number": "1104200930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 NE 82ND TER",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641181332",
            "telephone_number": "816-646-1242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 NE 82ND TER",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641181332",
            "telephone_number": "816-646-1242"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5325 Faraon St",
            "address_purpose": "LOCATION",
            "city": "Saint Joseph",
            "state": "MO",
            "postal_code": "645063488",
            "country_code": "US",
            "telephone_number": "816-271-6350",
            "fax_number": "816-271-6753",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "VANESSA",
        "middle_name": "RAE",
        "name_prefix": "Dr.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-10",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KS",
            "license": "557350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morgan Jackson, RN, IBCLC
• Nathaniel Jackson
• Quiana R Jackson, DNP, MSW
• Sherelle Nicole Jackson, OTD, OTR/L
• Travis Jackson, PHARMD
• Victoria Renee Jackson, DO
• Warren Kieth Jackson, MD
• Aasems Jacob, MD
• Dany Jacob, MD
• Justin Joseph Jacob, PHARMD

• Certified Registered Nurse Anesthetist in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Certified Registered Nurse Anesthetist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.