NOEL R JACKSON (CRNA) – Certified Registered Nurse Anesthetist, NPI 1518965755
Certified Registered Nurse Anesthetist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,279 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in TX
Loading map...
Provider Addresses for NOEL R JACKSON (CRNA)
4100, Summerhill Road, Texarkana, Bowie County, Texas, 75503, United States
TEXARKANA, TX 755032732
Phone: (903) 735-9802
Fax: (903) 735-9806
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $64.
Total Amount is formed as General ($64) + Research ($0) + Ownership ($0) = $64.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Takeda Pharmaceuticals U.S.A., Inc. ($32).
Total Amount
$64
General + Research + Ownership
Payments
4
Total payment records
General Amount
$64
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Takeda Pharmaceuticals U.S.A., Inc. | $32 |
| ABBVIE INC. | $32 |
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: 2011-03-30
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20110330000901 | I | Certified Registered Nurse Anesthetist (Crna) | TX | 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 |
|---|---|---|---|---|
| 00811 | Anesthesia for other procedure on large bowel using an endoscope | 97 | 97 | $0 |
| 00731 | Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope | 29 | 28 | $0 |
| 00812 | Anesthesia for exam of colon using an endoscope | 29 | 29 | $0 |
| 00813 | Anesthesia for procedure on small and large bowel using an endoscope | 11 | 11 | $0 |
Insurance plans in this area (ZIP 75503)
Loading plans...
Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| CERTIFIED REGISTERED NURSE ANESTHET | TX | 00142 | Anesthesia for lens surgery | 55 | 54 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | TX | |
| Nurse Practitioner | TX | |
| Gastroenterology, Internal Medicine | TX | |
| G A S T R O E N T E R O L O G Y | UT | |
| Certified Registered Nurse Anesthetist (Crna) | TX | |
| Gastroenterology, Internal Medicine | TX | |
| G A S T R O E N T E R O L O G Y | TX | |
| Certified Registered Nurse Anesthetist (Crna) | TX | |
| Nurse Practitioner | TX | |
| G A S T R O E N T E R O L O G Y | TX |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.