Marie R. Jackson, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

19290 Issued in TN

Practice address

310 S Limestone
Lexington, KY 40508-3008

Phone

(859) 252-6612

NPI assigned

Jan 21, 2015

Last updated

Apr 5, 2016By 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

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Anesthesia Medical Group, P.C.Group PAC ID 6901702307, 439 clinicians

Sweet Dreams Anesthesia IncGroup PAC ID 0042477705, 84 clinicians

Cardiovascular Anesthesiologists PCGroup PAC ID 4688571045, 142 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Tristar Summit Medical Center Hospital, Hermitage, TN, CCN 440150
• Maury Regional Hospital Hospital, Columbia, TN, CCN 440073
• Williamson Medical Center Hospital, Franklin, TN, CCN 440029

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cardiovascular Anesthesiologists PC

  • Critical Care Medicine (Anesthesiology) Physician
  • Nashville, TN
  • NPI 1912953381

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Sweet Dreams Anesthesia Inc

  • Certified Registered Nurse Anesthetist
  • Chattanooga, TN
  • NPI 1508133497

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Anesthesia Medical Group, PC

  • Anesthesiology Physician
  • Nashville, TN
  • NPI 1215932413
  Medicare reassignment Care Compare group

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

• HCA Health Services of Tennessee, Inc.

  dba Tristar Summit Medical Center

  • General Acute Care Hospital
  • Hermitage, TN
  • NPI 1982650024
  Care Compare affiliation
• Maury Regional Hospital

  dba Lewis Ambulatory Care Center

  • Clinic/Center
  • Hohenwald, TN
  • NPI 1023038122

  Hospital

  Care Compare affiliation
• Maury Regional Hospital

  dba Maury Regional Medical Center

  • General Acute Care Hospital
  • Columbia, TN
  • NPI 1861479545
  Care Compare affiliation
• Williamson County Hospital District

  dba Williamson Medical Center

  • General Acute Care Hospital
  • Franklin, TN
  • NPI 1265445506
  Care Compare affiliation

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

{
    "created_epoch": "1421798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459814400000",
    "number": "1497144950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 637931",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452637931",
            "telephone_number": "615-327-4304",
            "fax_number": "615-327-7940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 S LIMESTONE",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405083008",
            "telephone_number": "859-252-6612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "MARIE",
        "middle_name": "R.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-21",
        "last_updated": "2016-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "19290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keiarra Jackson, RN
• Kendra Jackson, LCSW
• Larry Jackson Jr.
• Lloyd Dallas Jackson, L.C.S.W.
• Madison Taylor Jackson
• Megan Grace Jackson, DMD
• Melissa Morgan Jackson, APRN-BC
• Michael L Jackson, BA
• Michelle Jackson
• Natasha Jackson

• Certified Registered Nurse Anesthetist in Lexington, KY
• Providers in Lexington, KY by specialty
• Certified Registered Nurse Anesthetist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2016; 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.