LYLE JEREMY JACKSON (CRNA) – Orthopedic Registered Nurse, NPI 1225597305
Orthopedic Registered Nurse
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,883 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in VA
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Provider Addresses for LYLE JEREMY JACKSON (CRNA)
16028 CALDERA LN
NAPLES, FL 341102819
Phone: (801) 319-9345
Type: Mailing
Mary Washington Hospital, 1001, Sam Perry Boulevard, Fredericksburg, Fredericksburg City, Virginia, 22401, United States
FREDERICKSBURG, VA 224014453
Phone: (540) 741-1100
Type: Location
1090 BARNEY DAIRY RD
REXBURG, ID 834403542
Phone: (801) 319-9345
Type: Mailing
2325 CORONADO ST
IDAHO FALLS, ID 834047407
Phone: (208) 557-2700
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: 2025-06-07
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210422003117 | I | Certified Registered Nurse Anesthetist (Crna) | ID | TBD |
| I20230505001511 | I | Certified Registered Nurse Anesthetist (Crna) | IN | TBD |
| I20250607000144 | I | Certified Registered Nurse Anesthetist (Crna) | IA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 64447 | Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve) | 18 | 18 | $0 |
| 01402 | Anesthesia for procedure for total knee joint replacement | 16 | 16 | $0 |
Insurance plans in this area (ZIP 34110)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | ID | |
| Certified Registered Nurse Anesthetist (Crna) | ID | |
| Osteopathic Manipulative Medicine | WY | |
| Physical Medicine And Rehabilitation | ID | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | ID | |
| Qualified Audiologist | ID | |
| Certified Registered Nurse Anesthetist (Crna) | TX | |
| Cardiovascular Disease (Cardiology), Internal Medicine | ID | |
| Nurse Practitioner | ID |
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