CARINA M JACKMAN M.D.
NPI 1003170127
Anesthesiology in Milwaukee, WI
About Carina M Jackman M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CARINA M JACKMAN M.D. (NPI 1003170127) is an individual anesthesiology provider in Milwaukee, Wisconsin, licensed in Utah (8831884-1205) and active in the NPI registry since July 2012. She is enrolled in Medicare PECOS, is affiliated with University Of Utah Hospitals And Clinics, and is a graduate of Medical College Of Wisconsin (2012).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Carina M Jackman M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
3Medicare enrollment records show Carina Jackman reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Sandy, UT 84092
- Reassigned Medicare billing, Utah enrollment
- 2,620 clinicians in this Medicare group
Salt Lake City, UT 84108
- Reassigned Medicare billing, Utah enrollment
- 338 clinicians in this Medicare group
South Jordan, UT 84095
- Reassigned Medicare billing, Utah enrollment
- 254 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
University Of Utah Hospitals And Clinics
Acute Care Hospitals · Salt Lake City, UTOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MILWAUKEE, WI 53210
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Carina Jackman's NPI number?
The NPI number for Carina Jackman is 1003170127. It was assigned to this individual provider in the NPPES registry on July 3, 2012.
Where is Carina Jackman located?
Carina Jackman practices at 5000 W Chambers St, Milwaukee, WI 53210. The listed phone number is (414) 447-2196.
What is Carina Jackman's specialty?
The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.
Is Carina Jackman enrolled in Medicare?
Yes. Carina Jackman is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Carina Jackman's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Carina Jackman reassigns Medicare benefits to 3 organizations: University Of Utah Adult Services (Sandy, UT), University Of Utah Acuity Care Services (Salt Lake City, UT) and Physician Group Of Utah Inc (South Jordan, UT). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Carina Jackman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Carina Jackman accept?
Health plans from Molina Healthcare and Select Health list Carina Jackman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Carina Jackman affiliated with any hospitals?
According to CMS data, Carina Jackman is affiliated with University Of Utah Hospitals And Clinics.
When was this NPI record last updated?
The NPPES record for Carina Jackman was last updated on October 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Carina M Jackman, M.D. · NPI 1003170127
Anesthesiology physician in Milwaukee, Wisconsin. Individual provider, active in the CMS NPPES registry since July 3, 2012.
## Identity
- **NPI:** 1003170127 (Entity type: Individual)
- **Enumerated:** July 3, 2012
- **Primary specialty:** Anesthesiology · taxonomy 207L00000X
- **State license:** 8831884-1205 (Utah)
- **Sole proprietor:** No
## Practice location
- **Address:** 5000 W CHAMBERS ST, Milwaukee, WI 53210-1650
- **Phone:** (414) 447-2196
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): University Of Utah Adult Services (NPI 1851904247, Sandy, UT); University Of Utah Acuity Care Services (NPI 1366804254, Salt Lake City, UT); Physician Group Of Utah Inc (NPI 1477676930, South Jordan, UT) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Medical College Of Wisconsin, class of 2012
## Record status
- **NPPES last updated:** October 21, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1003170127) · Data from the CMS NPPES public registry.