Active NPI
Lisa Thompson Jackson, CRNA
- Certified Registered Nurse Anesthetist
- Jackson, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- R545228
- Practice address
- 1500 E. Woodrow Wilson
Jackson, MS 39216 - Phone
- (601) 362-4471
- Fax
- (601) 368-4479
- NPI assigned
- Oct 2, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | R545228 | MS | Primary |
Addresses
Primary practice location
1500 E. Woodrow Wilson
Jackson, MS 39216
Mailing address
503 Glen Glade
Brandon, MS 39047
Phone (601) 919-8719
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2510 Lakeland Dr
Flowood, MS 39232-9513
Phone (604) 355-1234
Merit-based Incentive Payment System (MIPS)
- Final score
- 76.9 of 100
- Quality
- 47.44
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 77.24
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R545228 | MS | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of Mississippi - University of Mississippi Medical Center | Current | Accepting new patients | |
| Perioperative Services of Mississippi, LLC | Current | Accepting new patients | |
| State of Mississippi-University of Mississippi Medical Center | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Gastrointestinal Associates, P.a. | Current | Accepting new patients | |
| State of Mississippi - University of Mississippi Medical Center | Current | Accepting new patients | |
| Gi Alliance Anesthesia of Mississippi PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Gastrointestinal Associates, PA | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Gastrointestinal Associates, P.a. | Past | Accepting new patients | |
| Surgical Anesthesia Associates, PA | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
350 Crossgates Blvd
Brandon, MS 39042
Phone (601) 824-8500
2510 Lakeland Dr
Flowood, MS 39232
Phone (601) 355-1234
1421 N State St
Ste 203
Jackson, MS 39202
Phone (601) 355-1234
1225 N State St
Jackson, MS 39202
Phone (601) 292-4261
2500 N State St
Jackson, MS 39216
Phone (601) 815-4775
1850 Chadwick Dr
Jackson, MS 39204
Phone (601) 376-1000
106 Highland Way
Ste 101
Madison, MS 39110
Phone (601) 355-1234
Interoperability endpoints
- ljackson9349@ummc.direct-ci.com
Organizations & group practices 9
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.
-
- Certified Registered Nurse Anesthetist
- Flowood, MS
- NPI 1780303446
Nurse Anesthetist, Certified Registered
-
- Gastroenterology Physician
- Flowood, MS
- NPI 1093765604
-
- Anesthesiology Physician
- Jackson, MS
- NPI 1881123123
-
- General Acute Care Hospital
- Jackson, MS
- NPI 1154317527
-
- Anesthesiology Physician
- Flowood, MS
- NPI 1326587304
Nurse Anesthetist, Certified Registered
-
- Prosthetic/Orthotic Supplier
- Jackson, MS
- NPI 1235019530
-
- Nurse Practitioner
- Jackson, MS
- NPI 1699857433
Nurse Anesthetist, Certified Registered
-
- Gastroenterology Physician
- Madison, MS
- NPI 1902098288
-
- Anesthesiology Physician
- Jackson, MS
- NPI 1346287281
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294012800000",
"number": "1972696516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "503 GLEN GLADE",
"city": "BRANDON",
"state": "MS",
"postal_code": "39047",
"telephone_number": "601-919-8719"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 E. WOODROW WILSON",
"city": "JACKSON",
"state": "MS",
"postal_code": "39216",
"telephone_number": "601-362-4471",
"fax_number": "601-368-4479"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSON",
"first_name": "LISA",
"middle_name": "THOMPSON",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-02",
"last_updated": "2011-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MS",
"license": "R545228",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2011; 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.