Leslie K Jackson, CRNA

Primary specialty

Anesthesiologist AssistantTaxonomy code 367H00000X

License

L6-0A00529 Issued in DE

Practice address

1600 Rockland Road
Wilmington, DE 19803-3607

Phone

(302) 651-4200

Fax

(302) 651-5365

NPI assigned

Jan 10, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in DE, PA2 enrollments

Enrollment records 2

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northstar Anesthesia of Delaware LLCGroup PAC ID 8022428416, 125 clinicians

NCB Anesthesia Associates, LLCGroup PAC ID 1557726130, 17 clinicians

United Anesthesia Services PCGroup PAC ID 3173437613, 437 clinicians

Anesthesia Services PAGroup PAC ID 9537064498, 201 clinicians

Bayhealth Medical Center, IncGroup PAC ID 1658364740, shared by 16 NPIs, 399 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bayhealth Medical Center, Kent Campus Hospital, Dover, DE, CCN 080004
• Paoli Hospital Hospital, Paoli, PA, CCN 390153
• Riddle Memorial Hospital Hospital, Media, PA, CCN 390222
• Bayhealth Hospital, Sussex Campus Hospital, Milford, DE, CCN 080009
• Christiana Hospital Hospital, Newark, DE, CCN 080001

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Anesthesia Services PA

  • Anesthesiology Physician
  • New Castle, DE
  • NPI 1053366377
  Medicare reassignment Care Compare group NPD
• NCB Anesthesia Associates, LLC

  • Anesthesiology Physician
  • Newark, DE
  • NPI 1962102582
  Medicare reassignment Care Compare group NPD
• Northstar Anesthesia of Delaware, LLC

  • Anesthesiology Physician
  • Wilmington, DE
  • NPI 1316544976

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• United Anesthesia Services PC

  • Anesthesiology Physician
  • Wynnewood, PA
  • NPI 1053366062
  Medicare reassignment Care Compare group
• Bayhealth Medical Center, Inc.

  • General Acute Care Hospital
  • Milford, DE
  • NPI 1023006434
  Medicare reassignment NPD
• Bayhealth Medical Center, Inc.

  • General Acute Care Hospital
  • Dover, DE
  • NPI 1467546135
  Medicare reassignment NPD
• Delaware Center for Digestive Care LLC

  • Gastroenterology Physician
  • Newark, DE
  • NPI 1558722561
  Medicare reassignment NPD
• North American Partners in Anesthesia, Pennsylvania , LLC

  • Anesthesiology Physician
  • Melville, NY
  • NPI 1639137854

  Nurse Anesthetist, Certified Registered, PA

  Medicare reassignment NPD
• Bayhealth Medical Center, Inc

  • Gastroenterology Physician
  • Milford, DE
  • NPI 1639938525
  NPD
• Bayhealth Medical Center, Inc.

  • Neurological Surgery Physician
  • Milford, DE
  • NPI 1356808208
  NPD
• First State Anesthesia Services LLC

  • Anesthesiology Physician
  • Newark, DE
  • NPI 1902950603
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bayhealth Medical Center, Inc.

  • General Acute Care Hospital
  • Milford, DE
  • NPI 1023006434
  Care Compare affiliation
• Bayhealth Medical Center, Inc.

  • General Acute Care Hospital
  • Dover, DE
  • NPI 1467546135
  Care Compare affiliation
• Christiana Care Health Services, Inc.

  • General Acute Care Hospital
  • Wilmington, DE
  • NPI 1134194038
  Care Compare affiliation
• Main Line Hospitals, Inc.

  • General Acute Care Hospital
  • Paoli, PA
  • NPI 1215042114
  Care Compare affiliation
• Riddle Memorial Hospital

  • General Acute Care Hospital
  • Media, PA
  • NPI 1407856099
  Care Compare affiliation

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696291200000",
    "number": "1215087689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 191",
            "city": "ROCKLAND",
            "state": "DE",
            "postal_code": "197230191",
            "telephone_number": "302-651-4000",
            "fax_number": "302-651-4945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 ROCKLAND ROAD",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198033607",
            "telephone_number": "302-651-4200",
            "fax_number": "302-651-5365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "LESLIE",
        "middle_name": "K",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-10",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "DC",
            "license": "RN1004822",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "DE",
            "license": "L6-0A00529",
            "primary": false
        },
        {
            "code": "367H00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiologist Assistant",
            "state": "DE",
            "license": "L6-0A00529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lynn Lawrence Jackson, PHARMD
• Keith Jackson, MPT
• Kimberly Jackson
• Kimberly Jackson, LPCMH
• Kyle Jackson, DO
• Randy Eugene Jackson Jr., PHARMD
• Sandra F Jackson, CRNP
• Satyre Jackson
• Shawnell Jackson, LPN
• Tracey Jackson

• Anesthesiologist Assistant in Wilmington, DE
• Providers in Wilmington, DE by specialty
• Anesthesiologist Assistant in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2023; 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.