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YVONNE WOODFORD JACKSON CRNA
NPI 1104853837
Nurse Anesthetist, Certified Registered in Canton, OH

Active since June 27, 2006
82.89/100
CMS Quality Rating
2600 SIXTH STREET SW, OHIO HOSPITAL BASED PHYSICIAN CORP, CANTON, OH 44710(330) 363-7462(330) 363-7679 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Yvonne Woodford Jackson Crna NPPES

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

YVONNE WOODFORD JACKSON CRNA (NPI 1104853837) is an individual nurse anesthetist, certified registered in Canton, Ohio, licensed in Ohio (RN169055) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1104853837
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameYVONNE WOODFORD JACKSONCredential: CRNA
Location Address2600 SIXTH STREET SW, OHIO HOSPITAL BASED PHYSICIAN CORPCanton, OH 44710
Mailing Address2600 Sixth Street Sw, Ohio Hospital Based Physician CorpCanton, OH 44710 · (330) 363-7462 · Fax (330) 363-7679
Phone(330) 363-7462
Fax(330) 363-7679
Sole ProprietorNo
Enumeration DateJune 27, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1104853837 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 OH · RN169055
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.
2600 SIXTH STREET SW, Canton, OH 44710
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Other Identifiers 2

Medicare ID-Type UnspecifiedJA8213703OH
Medicaid0887090OH

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.

82.89/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.14
Promoting Interoperability100
Improvement Activities40
Cost73.83

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.

ROXIE LEE RUSH CRNA
Nurse Anesthetist, Certified Registered
2600 SIXTH STREET SW, OHIO HOSPITAL BASED PHYSICIAN CORP
CANTON, OH 44710
Stark County (330) 363-7462
SUSAN E MERCER MD
Family Medicine
2600 SIXTH STREET SW, AULTMAN HOSPITAL
CANTON, OH 44710
Stark County (330) 452-9911
ANTHONY CLARK CRNA
Nurse Anesthetist, Certified Registered
2600 SIXTH STREET SW, OHIO HOSPITAL BASED PHYSICIAN CORP
CANTON, OH 44710
Stark County (330) 363-7462
MADHAVI SUNKAR MD
Internal Medicine
2600 SIXTH STREET SW, AULTMAN HOSPITAL
CANTON, OH 44710
Stark County (330) 452-9911
JEFFERY P KELLER CRNA
Nurse Anesthetist, Certified Registered
2600 SIXTH STREET SW, OHIO HOSPITAL BASED PHYSICIAN CORP
CANTON, OH 44710
Stark County (330) 363-7462
LISA RICHER FORD MD
Pediatrics (Neonatal-Perinatal Medicine)
2600 SIXTH STREET SW, HARTER 266
CANTON, OH 44710
Stark County (330) 438-7430
ALLISON M OPRANDI MD
Family Medicine
2600 SIXTH STREET SW, AULTMAN HOSPITAL
CANTON, OH 44710
Stark County (330) 452-9911
PAULETTE ANN MARTIN CRNA
Nurse Anesthetist, Certified Registered
2600 SIXTH STREET SW, OHIO HOSPITAL BASED PHYSICIAN CORP
CANTON, OH 44710
Stark County (330) 363-7462

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 Yvonne Jackson's NPI number?

The NPI number for Yvonne Jackson is 1104853837. It was assigned to this individual provider in the NPPES registry on June 27, 2006.

Where is Yvonne Jackson located?

Yvonne Jackson practices at 2600 Sixth Street SW Ohio Hospital Based Physician Corp, Canton, OH 44710. The listed phone number is (330) 363-7462.

What is Yvonne Jackson's specialty?

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

When was this NPI record last updated?

The NPPES record for Yvonne Jackson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.