Jeremy Scott Jackson

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

RN2292777 Issued in MA

Practice address

55 Fruit St
Department of Anesthesia
Boston, MA 02114-2621

Phone

(617) 726-2000

NPI assigned

Jul 5, 2014

Sex

Male

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 MA

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2014

Medicare assignment

May accept Medicare assignment

Group practices

Commonwealth Anesthesia Associates, IncGroup PAC ID 9739151143, 88 clinicians

Anesthesia Consultants of Massachusetts LLCGroup PAC ID 3274905906, 9 clinicians

Capa Anesthesia LLCGroup PAC ID 1850786393, 69 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Newton-Wellesley Hospital Hospital, Newton, MA, CCN 220101

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

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 Consultants of Massachusetts LLC

  • Certified Registered Nurse Anesthetist
  • Boston, MA
  • NPI 1881306496

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Capa Anesthesia LLC

  • Anesthesiology Physician
  • Weymouth, MA
  • NPI 1629723002

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Commonwealth Anesthesia Associates, Inc

  • Pain Medicine (Anesthesiology) Physician
  • Newton, MA
  • NPI 1184645194
  Medicare reassignment Care Compare group NPD
• Anesthesia Professionals, Inc.

  • Certified Registered Nurse Anesthetist
  • Dartmouth, MA
  • NPI 1659346443

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Gbaa Holdings, PLLC

  • Anesthesiology Physician
  • Acton, MA
  • NPI 1790299592

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• JJM Medical Services, PC

  • Anesthesiology Physician
  • Waltham, MA
  • NPI 1952548265
  Medicare reassignment NPD
• Cap Anesthesia, PC

  • Anesthesiology Physician
  • Weston, MA
  • NPI 1497763213
  NPD (past)

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

• Newton-Wellesley Hospital

  • General Acute Care Hospital
  • Newton, MA
  • NPI 1992737761
  Care Compare affiliation

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

{
    "created_epoch": "1404518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532908800000",
    "number": "1912313461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "NWH ANESTHESIOLOGY",
            "address_2": "2014 WASHINGTON STREET",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "02462",
            "telephone_number": "617-243-6298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 FRUIT ST",
            "address_2": "DEPARTMENT OF ANESTHESIA",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021142621",
            "telephone_number": "617-726-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "JEREMY",
        "middle_name": "SCOTT",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-05",
        "last_updated": "2018-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MA",
            "license": "RN2292777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Devlin Amanda Jackson, PH.D.
• Esther Jackson
• Heather Jackson, PSY.D.
• James Jackson, M.D.
• Jeremy R Jackson, M.D.
• Joanna Debranique Jackson
• Jonathan Jackson, MD
• Julian Robert Nehemiah Jackson
• Karmen Jackson
• Kathleen Anne Jackson

• Certified Registered Nurse Anesthetist in Boston, MA
• Providers in Boston, MA by specialty
• Certified Registered Nurse Anesthetist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2018; 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.