DANIELLE R JACKSON (CRNA) – Certified Registered Nurse Anesthetist, NPI 1417333543

DANIELLE R JACKSON (CRNA) is a healthcare provider. based in Joplin, Missouri. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 2015025646 (MO). The NPI Number for DANIELLE R JACKSON (CRNA) is 1417333543

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
DANIELLE R JACKSON (CRNA)
NPI
1417333543
Phone
(417) 483-8527
Address
2923 MISSOURI AVE
Enumeration Date
30 July 2015
Last Update Date
17 May 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6207834000
Graduation Year
2015 (11 years ago)
PAC ID
8820303266
Group Practice PAC ID
8729973284
Professional Enrollment ID
I20150814012919
Address ID
KS667394325GA444XXDRXX403
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:10State licenses:2Digital endpointsOther names

966 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in KS

Provider Addresses for DANIELLE R JACKSON (CRNA)

  • 2923 MISSOURI AVE

    JOPLIN, MO 648042758

    Phone: (417) 483-8527

    Type: Mailing

  • 444 FOUR STATES DR

    SUITE 2

    GALENA, KS 667394324

    Phone: (620) 783-4441

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $47.

Total Amount is formed as General ($47) + Research ($0) + Ownership ($0) = $47.

Last reported payment date: 2024-06-04 • Largest payer in this snapshot: Augmedics Inc. ($47).

Total Amount

$47

General + Research + Ownership

Payments

2

Total payment records

General Amount

$47

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-04

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Augmedics Inc.$47
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: 2015-08-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20150814012919ICertified Registered Nurse Anesthetist (Crna)KSTBD
I20150817000281ICertified Registered Nurse Anesthetist (Crna)MOTBD

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
00142Anesthesia for lens surgery7372$0
01810Anesthesia for procedure on nerves, muscles, tendons, and tissue of forearm, wrist, and hand2121$0
64447Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve)2020$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope1312$0
00670Anesthesia for extensive surgery on spine1111$0
View full utilization report →

Insurance plans in this area (ZIP 64804)

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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: 8729973284View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)NC
Certified Registered Nurse Anesthetist (Crna)KS
Certified Registered Nurse Anesthetist (Crna)MO
Certified Registered Nurse Anesthetist (Crna)KS
A N E S T H E S I O L O G YOK
Certified Registered Nurse Anesthetist (Crna)MO
Certified Registered Nurse Anesthetist (Crna)KS
Certified Registered Nurse Anesthetist (Crna)KS
Certified Registered Nurse Anesthetist (Crna)MO
Certified Registered Nurse Anesthetist (Crna)MO

Reviews

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Frequently asked questions

How do I look up DANIELLE R JACKSON (CRNA) by NPI?
Use NPI 1417333543 when you need to reference DANIELLE R JACKSON (CRNA) in forms, claims, or directories.
Is DANIELLE R JACKSON (CRNA) currently active in the NPI registry?
CMS-published data lists DANIELLE R JACKSON (CRNA) as an active registrant.
What does DANIELLE R JACKSON (CRNA) treat or focus on?
Patients typically see DANIELLE R JACKSON (CRNA) under the specialty Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Where is DANIELLE R JACKSON (CRNA)'s primary listing?
We display Joplin, Missouri because that is what the record indicates for DANIELLE R JACKSON (CRNA).
Is DANIELLE R JACKSON (CRNA) a real provider?
This page reflects official NPPES data for NPI 1417333543. Always confirm identity and privileges with the practice and licensing boards.

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