MRS. AMANDA NICOLE LOVELADY JACKSON (CRNA) – Certified Registered Nurse Anesthetist, NPI 1316030273

MRS. AMANDA NICOLE LOVELADY JACKSON (CRNA) is a healthcare provider. based in Decatur, Alabama. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 75119 (AL). The NPI Number for MRS. AMANDA NICOLE LOVELADY JACKSON (CRNA) is 1316030273

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
MRS. AMANDA NICOLE LOVELADY JACKSON (CRNA)
NPI
1316030273
Phone
(256) 654-1996
Address
1402 20TH AVE SE
Enumeration Date
2 October 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2563412000
Graduation Year
2005 (21 years ago)
PAC ID
3870509961
Group Practice PAC ID
2466502455
Professional Enrollment ID
I20060227000640
Address ID
AL356013337DE1201XSEXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,625 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in AL

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Provider Addresses for MRS. AMANDA NICOLE LOVELADY JACKSON (CRNA)

  • 1402, 20th Avenue Southeast, Brookmeade, Decatur, Morgan County, Alabama, 35601, United States

    DECATUR, AL 356015216

    Phone: (256) 654-1996

    Type: Mailing

  • 1207, 7th Street Southeast, Albany, Decatur, Morgan County, Alabama, 35601, United States

    DECATUR, AL 35601

    Phone: (256) 341-2000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2006-02-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20060227000640ICertified Registered Nurse Anesthetist (Crna)ALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
01480Anesthesia for other procedure on lower leg, ankle, and foot bones1111$0
View full utilization report →

Insurance plans in this area (ZIP 35601)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2466502455View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)OH
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)AL
Certified Registered Nurse Anesthetist (Crna)AL
Certified Registered Nurse Anesthetist (Crna)AL
Certified Registered Nurse Anesthetist (Crna)AL
Certified Registered Nurse Anesthetist (Crna)AL
Certified Registered Nurse Anesthetist (Crna)AL
-AL
Certified Registered Nurse Anesthetist (Crna)AL

Reviews

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Frequently asked questions

How is MRS. AMANDA NICOLE LOVELADY JACKSON (CRNA) identified in CMS data?
CMS-hosted NPPES data lists MRS. AMANDA NICOLE LOVELADY JACKSON (CRNA) with NPI 1316030273.
Does CMS list MRS. AMANDA NICOLE LOVELADY JACKSON (CRNA) as active?
Yes — MRS. AMANDA NICOLE LOVELADY JACKSON (CRNA) is active in the NPI listing used on this page.
What taxonomy line describes MRS. AMANDA NICOLE LOVELADY JACKSON (CRNA)?
For research purposes, treat MRS. AMANDA NICOLE LOVELADY JACKSON (CRNA) as Certified Registered Nurse Anesthetist in this dataset. Clinical services aligned with this taxonomy classification.
Where is MRS. AMANDA NICOLE LOVELADY JACKSON (CRNA) based?
MRS. AMANDA NICOLE LOVELADY JACKSON (CRNA) is tied to Decatur, Alabama in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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