MR. MICHAEL WAYNE JACKSON (CRNA) – Certified Registered Nurse Anesthetist, NPI 1558379362
Certified Registered Nurse Anesthetist
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 MR. MICHAEL WAYNE JACKSON (CRNA)
Southampton Memorial Hospital, 100, Fairview Drive, Franklin, Franklin City, Virginia, 23851, United States
SOUTHAMPTON MEMORIAL HOSPITAL
FRANKLIN, VA 238511238
Phone: (757) 569-6125
Type: Location
321, Western Avenue, Azalea Acres, Suffolk, Virginia, 23434, United States
SUFFOLK, VA 234344931
Phone: (757) 539-4034
Type: Mailing
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 $52.
Total Amount is formed as General ($52) + Research ($0) + Ownership ($0) = $52.
Last reported payment date: 2024-05-09 • Largest payer in this snapshot: Janssen Biotech, Inc. ($30).
Total Amount
$52
General + Research + Ownership
Payments
2
Total payment records
General Amount
$52
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Biotech, Inc. | $30 |
| Takeda Pharmaceuticals U.S.A., Inc. | $22 |
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: 2007-09-20
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 |
|---|---|---|---|---|
| I20070920000703 | I | Certified Registered Nurse Anesthetist (Crna) | VA | 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 |
|---|---|---|---|---|
| 00142 | Anesthesia for lens surgery | 111 | 109 | $0 |
| 01402 | Anesthesia for procedure for total knee joint replacement | 49 | 48 | $0 |
| 64447 | Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve) | 43 | 43 | $0 |
| 00812 | Anesthesia for exam of colon using an endoscope | 39 | 39 | $0 |
| 00811 | Anesthesia for other procedure on large bowel using an endoscope | 39 | 39 | $0 |
Insurance plans in this area (ZIP 23851)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| CERTIFIED REGISTERED NURSE ANESTHET | VA | 00142 | Anesthesia for lens surgery | 37 | 33 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | GA | |
| Physician Assistant | VA | |
| Certified Registered Nurse Anesthetist (Crna) | VA | |
| G A S T R O E N T E R O L O G Y | VA | |
| Certified Registered Nurse Anesthetist (Crna) | VA | |
| Certified Registered Nurse Anesthetist (Crna) | VA | |
| - | VA | |
| Certified Registered Nurse Anesthetist (Crna) | VA | |
| Nurse Practitioner | VA | |
| G A S T R O E N T E R O L O G Y | VA |
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