RAICHATOU ANN JACKSON
NPI 1033596861
Nurse Anesthetist, Certified Registered in Sioux City, IA

Q: What is Raichatou Jackson's NPI number?

The NPI number for Raichatou Jackson is 1033596861. It was assigned to this individual provider in the NPPES registry on April 30, 2015.

Q: What is Raichatou Jackson's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Q: When was this NPI record last updated?

The NPPES record for Raichatou Jackson was last updated on July 22, 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.

Active since April 30, 2015Accepts Medicare Assignment

2720 STONE PARK BLVD, SIOUX CITY, IA 51104(712) 279-3500 Get Directions Write a Review

NPPES record last updated: July 22, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Raichatou Ann Jackson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RAICHATOU ANN JACKSON (NPI 1033596861) is an individual nurse anesthetist, certified registered in Sioux City, Iowa, licensed in Iowa (D139906) and active in the NPI registry since April 2015. She is affiliated with St Lukes Regional Medical Center and is a graduate of Other (2015).

NPPES Registry Identity

NPI1033596861

Entity TypeIndividualFemale

Primary Taxonomy367500000X

Provider Legal NameRAICHATOU ANN JACKSON

Location Address2720 STONE PARK BLVDSioux City, IA 51104-3734

Mailing Address2720 Stone Park BlvdSioux City, IA 51104-3734 · (712) 279-3500

Phone(712) 279-3500

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateApril 30, 2015

Last NPPES UpdateJuly 22, 2021

NPPES CertifiedJuly 22, 2021

✔ NPI 1033596861 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

License✔ Licensed in IA · D139906

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

2720 STONE PARK BLVD, Sioux City, IA 51104

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Avera Health Plans, Medica, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Raichatou Ann Jackson 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.

PECOS PAC ID9436479284

PECOS Enrollment IDI20150519002562, I20200206000669

Areas of Expertise CMS Part B claims 4

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.

Anesthesia for exam of colon using an endoscope 00812

Anesthesia for a colon examination with an endoscope is a method used to ensure comfort during the procedure. It involves administering medication to help you relax or sleep, thus reducing discomfort as the endoscope, a thin, flexible tube, is navigated through your colon.

58 services58 patients

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731

This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.

22 services22 patients

Anesthesia for procedure on small and large bowel using an endoscope 00813

Anesthesia for an endoscopic procedure on the small and large bowel ensures comfort and relaxation during the procedure. It involves administering medicine to help you sleep or feel drowsy. This allows the doctor to examine your bowels without causing you discomfort or pain.

17 services17 patients

Anesthesia for other procedure on lower leg, ankle, and foot bones 01480

Anesthesia for procedures on lower leg, ankle, and foot bones involves administering medication to block pain and sensation in these areas. This allows doctors to perform necessary treatments or surgeries without causing discomfort. The type of anesthesia used can vary based on the specific procedure.

13 services13 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Lukes Regional Medical Center

Acute Care Hospitals · Sioux City, IA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number160146

Location2720 Stone Park BoulevardSioux City, IA 51104 · Woodbury County

Emergency services Birthing friendly

Dunes Surgical Hospital

Acute Care Hospitals · Dakota Dunes, SD

OwnershipProprietary

CMS Certification Number430089

Location600 N Sioux Point RoadDakota Dunes, SD 57049 · Union County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 51104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$122.23 typical visit price

range $52.96 – $161.40

Typical copayment $30.55 (range $13.24 – $40.35)

Most-billed visit code 99204

Established Patient

$66.36 typical visit price

range $16.91 – $131.98

Typical copayment $16.59 (range $4.22 – $32.99)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. MARK S CARLSON DO

Anesthesiology