TERRANCE JACKSON (CRNA) – Certified Registered Nurse Anesthetist, NPI 1700832409

TERRANCE JACKSON (CRNA) is a healthcare provider. based in Cherry hill, New Jersey. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 06793700 (NJ). The NPI Number for TERRANCE JACKSON (CRNA) is 1700832409

Main info

Male
44 Years Of Experience
Accepts Medicare Assignment
Name
TERRANCE JACKSON (CRNA)
NPI
1700832409
Phone
(215) 829-3867
Address
408 ROUTE 70 E
Enumeration Date
25 May 2006
Last Update Date
24 October 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2158295664
Graduation Year
1982 (44 years ago)
PAC ID
9739107624
Group Practice PAC ID
5991617292
Professional Enrollment ID
I20080123000273
Address ID
PA191076130PH800XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,122 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in NJ

Provider Addresses for TERRANCE JACKSON (CRNA)

  • 408 ROUTE 70 E

    CHERRY HILL, NJ 080342409

    Phone: (215) 829-3867

    Type: Location

  • 804, Scott Nixon Memorial Drive, Augusta, Richmond County, Georgia, 30907, United States

    AUGUSTA, GA 309072464

    Phone: (800) 394-4445

    Type: Mailing

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 $22.

Total Amount is formed as General ($22) + Research ($0) + Ownership ($0) = $22.

Last reported payment date: 2023-07-12 • Largest payer in this snapshot: Johnson & Johnson Surgical Vision, Inc. ($22).

Total Amount

$22

General + Research + Ownership

Payments

1

Total payment records

General Amount

$22

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-07-12

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: 2008-01-23

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
I20080123000273ICertified Registered Nurse Anesthetist (Crna)PATBD

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
01922Anesthesia for x-ray or radiation therapy118108$0
00532Anesthesia for access to central vein1111$0
View full utilization report →

Insurance plans in this area (ZIP 08034)

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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: 5991617292View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)PA
Certified Registered Nurse Anesthetist (Crna)NJ
-PA
Certified Registered Nurse Anesthetist (Crna)PA
Certified Registered Nurse Anesthetist (Crna)PA
Certified Registered Nurse Anesthetist (Crna)NY
Certified Registered Nurse Anesthetist (Crna)GA
-GA
-GA
A N E S T H E S I O L O G YPA

Reviews

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Frequently asked questions

What federal number belongs to TERRANCE JACKSON (CRNA)?
The federal identifier for TERRANCE JACKSON (CRNA) is NPI 1700832409.
Is TERRANCE JACKSON (CRNA) currently active in the NPI registry?
CMS-published data lists TERRANCE JACKSON (CRNA) as an active registrant.
What field does TERRANCE JACKSON (CRNA) work in?
You can think of TERRANCE JACKSON (CRNA) as practicing within Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What location shows for TERRANCE JACKSON (CRNA)?
We surface Cherry Hill, New Jersey for TERRANCE JACKSON (CRNA) based on available NPPES addresses.
What if Cherry Hill, New Jersey seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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