Jennifer M Jackson, A.A.

Primary specialty

Anesthesiologist AssistantTaxonomy code 367H00000X

License

67000101 Issued in OH

Practice address

3000 Arlington Ave
Anesthesia
Toledo, OH 43614-2595

Phone

(419) 383-3556

Fax

(419) 383-3550

NPI assigned

Sep 7, 2005

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Specialty

Anesthesiology Assistant

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

University of Toledo Physicians LLCGroup PAC ID 8729983416, 400 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• University of Toledo Medical Center Hospital, Toledo, OH, CCN 360048

Merit-based Incentive Payment System (MIPS)

Final score

88.34 of 100Reported as group

Quality

69.17

Promoting interoperability

99

Improvement activities

40

Cost

75

Medicare enrollment (NPD)

Enrolled

Credentials

Associate of Arts

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jjackson24981@direct.utoledo.edu

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

• University of Toledo Physicians LLC

  • Internal Medicine Physician
  • Toledo, OH
  • NPI 1942296033
  Medicare reassignment Care Compare group NPD
• Ohio Anesthesia Group, Inc

  • Anesthesiology Physician
  • Canton, OH
  • NPI 1639348113
  Medicare reassignment NPD
• Medical University of Ohio at Toledo

  dba University of Toledo Medical Center

  • General Acute Care Hospital
  • Toledo, OH
  • NPI 1811971302
  NPD

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

• Medical University of Ohio at Toledo

  dba University of Toledo Medical Center

  • General Acute Care Hospital
  • Toledo, OH
  • NPI 1811971302
  Care Compare affiliation

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

{
    "created_epoch": "1126051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1427042357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3355 GLENDALE AVE",
            "address_2": "THIRD FLOOR",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436142426",
            "telephone_number": "419-383-7100",
            "fax_number": "419-383-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 ARLINGTON AVE",
            "address_2": "ANESTHESIA",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436142595",
            "telephone_number": "419-383-3556",
            "fax_number": "419-383-3550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "JENNIFER",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "A.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367H00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiologist Assistant",
            "state": "OH",
            "license": "67000101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2405050",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Isaiah Jackson
• Jacqueline Faye Jackson
• James L Jackson, MSW,LICDC
• Jaron Jackson
• Jeffrey M Jackson, CRNA
• Julie Marie Jackson, OT
• Kayleah Jackson
• Keiyona T Jackson
• Kenesha Jackson
• Kesha N. Jackson, LSW

• Anesthesiologist Assistant in Toledo, OH
• Providers in Toledo, OH by specialty
• Anesthesiologist Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.