JOHN H JACKSON CRNA
NPI 1114913597
Nurse Anesthetist, Certified Registered in Windsor, VT
About John H Jackson Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHN H JACKSON CRNA (NPI 1114913597) is an individual nurse anesthetist, certified registered in Windsor, Vermont, licensed in Vermont (101-0026395) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Alice Peck Day Memorial Hospital, and is a graduate of Other (1997).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 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
John H 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.
Medicare Billing Reassignments
5Medicare enrollment records show John Jackson reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Lebanon, NH 03766
- Reassigned Medicare billing, New Hampshire enrollment
- Also billed through NPI 1003803495 (New Hampshire)
- 283 clinicians in this Medicare group
Manchester, NH 03103
- Reassigned Medicare billing, New Hampshire enrollment
- 278 clinicians in this Medicare group
Farmington, NH 03835
- Reassigned Medicare billing, Vermont enrollment
- 19 clinicians in this Medicare group
Richardson, TX 75082
- Reassigned Medicare billing, North Carolina, New Hampshire and Vermont enrollments
- 493 clinicians in this Medicare group
Kamuela, HI 96743
- Reassigned Medicare billing, Hawaii enrollment
- 68 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 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Alice Peck Day Memorial Hospital
Critical Access Hospitals · Lebanon, NHPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 05089 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
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 John Jackson's NPI number?
The NPI number for John Jackson is 1114913597. It was assigned to this individual provider in the NPPES registry on September 21, 2005.
Where is John Jackson located?
John Jackson practices at 289 County Rd, Windsor, VT 05089. The listed phone number is (802) 674-7218.
What is John Jackson's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is John Jackson enrolled in Medicare?
Yes. John 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 John Jackson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Jackson reassigns Medicare benefits to 5 organizations: Alice Peck Day Memorial Hospital (Lebanon, NH), Amoskeag Anesthesia, PLLC (Manchester, NH), Collaborative Anesthesia Partners (Farmington, NH), Medstream Anesthesia PLLC (Richardson, TX) and Medstream Anesthesia Hawaii, LLC (Kamuela, HI). 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 John Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does John Jackson accept?
Health plans from Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Shield, Cigna Healthcare and WellSense Health Plan list John 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.
Is John Jackson affiliated with any hospitals?
According to CMS data, John Jackson is affiliated with Alice Peck Day Memorial Hospital.
When was this NPI record last updated?
The NPPES record for John 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.
# John H Jackson, CRNA · NPI 1114913597
Nurse Anesthetist, Certified Registered physician in Windsor, Vermont. Individual provider, active in the CMS NPPES registry since September 21, 2005.
## Identity
- **NPI:** 1114913597 (Entity type: Individual)
- **Enumerated:** September 21, 2005
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 101-0026395 (Vermont)
- **Sole proprietor:** No
## Practice location
- **Address:** 289 COUNTY RD, Windsor, VT 05089-9000
- **Phone:** (802) 674-7218 · **Fax:** (802) 674-7005
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Alice Peck Day Memorial Hospital (NPI 1093761892, Lebanon, NH); Amoskeag Anesthesia, PLLC (NPI 1104883511, Manchester, NH); Collaborative Anesthesia Partners (NPI 1023522455, Farmington, NH); Medstream Anesthesia PLLC (NPI 1649616160, Richardson, TX); Medstream Anesthesia Hawaii, LLC (NPI 1346621190, Kamuela, HI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1997
## Record status
- **NPPES last updated:** July 8, 2007
- **Other identifiers:** Medicare ID-Type Unspecified VN2841 (VT); Medicaid 0RE5256 (VT)
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Source: [NPI Profile](https://npiprofile.com/npi/1114913597) · Data from the CMS NPPES public registry.