JASON J SHANNON (CRNA) – Certified Registered Nurse Anesthetist, NPI 1972935641

JASON J SHANNON (CRNA) is a healthcare provider. based in Jackson, Mississippi. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. R872238 (MS). The NPI Number for JASON J SHANNON (CRNA) is 1972935641

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
JASON J SHANNON (CRNA)
NPI
1972935641
Phone
(769) 524-4686
Address
1012 AUBURN DR
Enumeration Date
5 August 2013
Last Update Date
5 August 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6012495500
Graduation Year
2013 (13 years ago)
PAC ID
3779718804
Group Practice PAC ID
6204823891
Professional Enrollment ID
I20131028000472
Address ID
MS396482705MC215XXAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:12State licenses:1Digital endpointsOther names

760 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in MS

Provider Addresses for JASON J SHANNON (CRNA)

  • 1012 AUBURN DR

    JACKSON, MS 392114226

    Phone: (769) 524-4686

    Fax: (601) 944-9780

    Type: Mailing

  • 1225 N STATE ST

    JACKSON, MS 392022064

    Phone: (601) 968-1000

    Fax: (601) 944-9780

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $17.

Total Amount is formed as General ($17) + Research ($0) + Ownership ($0) = $17.

Last reported payment date: 2024-05-21 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($17).

Total Amount

$17

General + Research + Ownership

Payments

1

Total payment records

General Amount

$17

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-21

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2013-10-28

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
I20131028000472ICertified Registered Nurse Anesthetist (Crna)MSTBD

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
01402Anesthesia for procedure for total knee joint replacement4040$0
01810Anesthesia for procedure on nerves, muscles, tendons, and tissue of forearm, wrist, and hand2625$0
01400Anesthesia for other procedure or exam of knee joint using an endoscope2222$0
01630Anesthesia for other procedure on top of arm bone and shoulder joint2222$0
01214Anesthesia for total hip replacement1515$0
View full utilization report →

Insurance plans in this area (ZIP 39211)

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Provider's Procedures

JASON J SHANNON (CRNA) performs procedures in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CERTIFIED REGISTERED NURSE ANESTHETMS00790Anesthesia for procedure in upper abdomen including use of an endoscope1717
CERTIFIED REGISTERED NURSE ANESTHETMS01402Anesthesia for open or endoscopic total knee joint replacement2727

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: 6204823891View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YMS
A N E S T H E S I O L O G YAL
Certified Registered Nurse Anesthetist (Crna)MS
Certified Registered Nurse Anesthetist (Crna)AL
Certified Registered Nurse Anesthetist (Crna)MS
A N E S T H E S I O L O G YDC
A N E S T H E S I O L O G YMS
-MS
Certified Registered Nurse Anesthetist (Crna)KS
Certified Registered Nurse Anesthetist (Crna)MS

Reviews

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Frequently asked questions

What federal number belongs to JASON J SHANNON (CRNA)?
The federal identifier for JASON J SHANNON (CRNA) is NPI 1972935641.
Does this profile mean JASON J SHANNON (CRNA) is currently active?
Yes — JASON J SHANNON (CRNA) appears active in the national provider directory.
Can you summarize JASON J SHANNON (CRNA)'s specialty in plain language?
Clinically, the directory lists JASON J SHANNON (CRNA) with Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What location shows for JASON J SHANNON (CRNA)?
We surface Jackson, Mississippi for JASON J SHANNON (CRNA) based on available NPPES addresses.
How can I contact JASON J SHANNON (CRNA)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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