DENNIS WILLIAM JACKS CRNA
NPI 1063790079
Nurse Anesthetist, Certified Registered in Little Rock, AR

Active since July 25, 2011Accepts Medicare Assignment
6119 MIDTOWN AVE, SUITE 201, LITTLE ROCK, AR 72205(501) 664-4532(501) 663-4335 Get Directions Write a Review

NPPES record last updated: June 16, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dennis William Jacks Crna NPPES

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

DENNIS WILLIAM JACKS CRNA (NPI 1063790079) is an individual nurse anesthetist, certified registered in Little Rock, Arkansas, licensed in Arkansas (C002870) and active in the NPI registry since July 2011. He is a graduate of Other (2011).

NPPES Registry Identity

NPI1063790079
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameDENNIS WILLIAM JACKSCredential: CRNA
Location Address6119 MIDTOWN AVE, SUITE 201Little Rock, AR 72205-5313
Mailing Address6119 Midtown Ave, Suite 201Little Rock, AR 72205-5313 · (501) 664-4532 · Fax (501) 663-4335
Fax(501) 663-4335
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJuly 25, 2011
Last NPPES UpdateJune 16, 2015
NPI 1063790079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License Licensed in AR · C002870
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.

Also ListedRegistered NurseTaxonomy 163W00000X · License R070488 (AR)
6119 MIDTOWN AVE, Little Rock, AR 72205

Other Identifiers 1

Medicare PIN4A100C752AR

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

Dennis William Jacks Crna 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 ID3971773979
PECOS Enrollment IDI20110831000131

Areas of Expertise CMS Part B claims 7

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 procedure on heart and large blood vessels using heart-lung machine (1 year or older) 00562
This procedure involves administering anesthesia to ensure comfort and safety during heart or large blood vessel operations. A heart-lung machine is used to take over the heart's function, allowing the surgeon to work on a still heart. Suitable for individuals aged 1 year and older.
25 services25 patients
Anesthesia for procedure on heart and large blood vessels 00560
Anesthesia for heart and large blood vessel procedures involves using medications to block sensation, ensuring you don't feel pain during surgery. It can be general (you're asleep) or regional (part of your body is numbed). It helps ensure comfort and safety throughout the operation.
16 services16 patients
Anesthesia for other procedure on skin of arms, legs, and front body 00400
Anesthesia for procedures on the skin of your arms, legs, and front body is a service that numbs the area being treated. This ensures you don't feel pain during procedures like biopsies, stitches, or minor surgeries. It's administered through a small injection or a topical cream.
15 services15 patients
Anesthesia for heart artery bypass grafting on heart-lung machine 00567
Anesthesia for heart artery bypass grafting on a heart-lung machine involves administering medications to induce sleep and eliminate pain during surgery. The heart-lung machine takes over heart and lung functions, ensuring blood flow and oxygen supply to the body.
15 services15 patients
Anesthesia for lens surgery 00142
Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.
13 services13 patients
Anesthesia for procedure to assess heart electrical activity 00537
Anesthesia for a procedure to assess heart electrical activity helps ensure comfort and relaxation. It involves administering medication that either numbs a specific area or makes you sleep temporarily. This allows doctors to safely examine your heart's electrical signals without causing discomfort.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72205 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
$119.36 typical visit price
range $51.36 – $157.74
Typical copayment $29.84 (range $12.84 – $39.43)
Most-billed visit code 99204
Established Patient
$64.56 typical visit price
range $16.16 – $128.77
Typical copayment $16.14 (range $4.04 – $32.19)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Post-Anesthetic Transfer of Care Measure: Procedure Room to a Post Anesthesia Care Unit (PACU)
Percentage of patients, regardless of age, who are under the care of an anesthesia practitioner and are admitted to a PACU or other non-ICU location in which a post-anesthetic formal transfer of care protocol or checklist which includes the key transfer of…
30%47 patients2/55-star benchmark: 100%
Pre-operative OSA assessment
Percentage of patients who undergo a surgical procedure in the operating room/procedure room that have a pre-operative assessment for Obstructive Sleep Apnea (OSA)
84%412 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Nurse Anesthetist, Certified Registered
6119 MIDTOWN AVE, SUITE 201
LITTLE ROCK, AR 72205
Nurse Anesthetist, Certified Registered
6119 MIDTOWN AVE, SUITE 201
LITTLE ROCK, AR 72205
Nurse Anesthetist, Certified Registered
6119 MIDTOWN AVE, SUITE 201
LITTLE ROCK, AR 72205
Nurse Anesthetist, Certified Registered
6119 MIDTOWN AVE, SUITE 201
LITTLE ROCK, AR 72205
Anesthesiology
6119 MIDTOWN AVE, SUITE 201
LITTLE ROCK, AR 72205
Nurse Anesthetist, Certified Registered
6119 MIDTOWN AVE, SUITE 201
LITTLE ROCK, AR 72205
Nurse Anesthetist, Certified Registered
6119 MIDTOWN AVE, SUITE 201
LITTLE ROCK, AR 72205
Nurse Anesthetist, Certified Registered
6119 MIDTOWN AVE, SUITE 201
LITTLE ROCK, AR 72205

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 Dennis Jacks's NPI number?

The NPI number for Dennis Jacks is 1063790079. It was assigned to this individual provider in the NPPES registry on July 25, 2011.

Where is Dennis Jacks located?

Dennis Jacks practices at 6119 Midtown Ave Suite 201, Little Rock, AR 72205. The listed phone number is (501) 664-4532.

What is Dennis Jacks's specialty?

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

Is Dennis Jacks enrolled in Medicare?

Yes. Dennis Jacks 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.

When was this NPI record last updated?

The NPPES record for Dennis Jacks was last updated on June 16, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.