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DR. VANESSA RAE JACKSON CRNA
NPI 1104200930
Nurse Anesthetist, Certified Registered in Kansas City, MO

Active since July 10, 2015PECOS EnrolledAccepts Medicare Assignment
721 NE 82ND TER, KANSAS CITY, MO 64118(816) 646-1242 Get Directions Write a Review

NPPES record last updated: October 9, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Vanessa Rae Jackson Crna NPPES

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

DR. VANESSA RAE JACKSON CRNA (NPI 1104200930) is an individual nurse anesthetist, certified registered in Kansas City, Missouri, licensed in Kansas (557350) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS, maintains a secondary practice location in Saint Joseph, and is a graduate of University Of Kansas School Of Med (kc/wich/sal) (2015).

NPPES Registry Identity

NPI1104200930
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameDR. VANESSA RAE JACKSONCredential: CRNA
Location Address721 NE 82ND TERKansas City, MO 64118-1332
Mailing Address721 Ne 82nd TerKansas City, MO 64118-1332 · (816) 646-1242
Phone(816) 646-1242
Sole ProprietorYes
Medical School CMSUniversity Of Kansas School Of Med (kc/wich/sal)Graduated 2015
Enumeration DateJuly 10, 2015
Last NPPES UpdateOctober 9, 2024
NPPES CertifiedOctober 9, 2024
✔ NPI 1104200930 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 KS · 557350
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.
721 NE 82ND TER, Kansas City, MO 64118
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Secondary Practice Location 1

Location 15325 Faraon StSaint Joseph, MO 64506-3488 · Phone (816) 271-6350 · Fax (816) 271-6753

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas City, Oscar Insurance Company.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

Dr. Vanessa Rae Jackson 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 ID6204134869
PECOS Enrollment IDI20160620000114
Eligible to Order & Refer✔ Part B Labs & Imaging– Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

5

Medicare enrollment records show Vanessa Jackson reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Digestive Health Specialists, LLC
17 mi
Gastroenterology
3800 S WHITNEY AVE, SUITE 200
Independence, MO 64055
  • Reassigned Medicare billing, Missouri enrollment
  • 146 clinicians in this Medicare group
NPI 1801286844 (816) 478-4887
Eye Care LLC
18 mi
Ophthalmology
4741 S COCHISE DR
Independence, MO 64055
  • Reassigned Medicare billing, Missouri and Kansas enrollments
  • Also billed through NPI 1881884211 (Kansas)
  • 57 clinicians in this Medicare group
NPI 1750374567 (816) 478-1230
Excel Anesthesia, LLC
22 mi
Nurse Anesthetist, Certified Registered
11261 NALL AVE STE 200
Leawood, KS 66211
  • Reassigned Medicare billing, Kansas and Missouri enrollments
  • 41 clinicians in this Medicare group
NPI 1366559130 (913) 671-3290
Heartland Regional Medical Center
38 mi
General Practice
5325 FARAON ST
Saint Joseph, MO 64506
  • Reassigned Medicare billing, Missouri enrollment
  • 471 clinicians in this Medicare group
NPI 1477575405 (816) 271-6000
Ottawa Anesthesia LLC
58 mi
Nurse Anesthetist, Certified Registered
1301 SOUTH MAIN
Ottawa, KS 66067
  • Reassigned Medicare billing, Kansas enrollment
  • 13 clinicians in this Medicare group
NPI 1952372450 (785) 229-8200

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 10

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 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.
302 services251 patients
Anesthesia for procedure for total knee joint replacement 01402
Anesthesia for a total knee joint replacement numbs your body to eliminate pain during surgery. This could be general anesthesia where you're unconscious, or regional anesthesia where only the leg is numb. It's administered by a specialist, ensuring safety and comfort.
38 services37 patients
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.
34 services34 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.
30 services30 patients
Anesthesia for procedure on nerves, muscles, tendons, and tissue of forearm, wrist, and hand 01810
Anesthesia for procedures on the forearm, wrist, and hand involves administering medication to block sensation in these areas. This helps ensure comfort and painlessness during surgeries or treatments involving nerves, muscles, tendons, and tissue in these regions.
29 services27 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.
28 services28 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64118 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
$127.61 typical visit price
range $55.29 – $168.52
Typical copayment $31.90 (range $13.82 – $42.13)
Most-billed visit code 99204
Established Patient
$69.10 typical visit price
range $17.60 – $137.20
Typical copayment $17.27 (range $4.40 – $34.30)
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.

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 Vanessa Jackson's NPI number?

The NPI number for Vanessa Jackson is 1104200930. It was assigned to this individual provider in the NPPES registry on July 10, 2015.

Where is Vanessa Jackson located?

Vanessa Jackson practices at 721 NE 82nd Ter, Kansas City, MO 64118. The listed phone number is (816) 646-1242.

What is Vanessa Jackson's specialty?

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

Is Vanessa Jackson enrolled in Medicare?

Yes. Vanessa Jackson 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 Vanessa Jackson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Vanessa Jackson reassigns Medicare benefits to 5 organizations: Digestive Health Specialists, LLC (Independence, MO), Eye Care LLC (Independence, MO), Excel Anesthesia, LLC (Leawood, KS), Heartland Regional Medical Center (Saint Joseph, MO) and Ottawa Anesthesia LLC (Ottawa, KS). 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 Vanessa Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Vanessa Jackson accept?

Health plans from Blue Cross and Blue Shield of Kansas City and Oscar Insurance Company list Vanessa Jackson 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.

When was this NPI record last updated?

The NPPES record for Vanessa Jackson was last updated on October 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.