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KATRINA A JACKSON CRNA
NPI 1144318296
Nurse Anesthetist, Certified Registered in Little Rock, AR

Active since October 11, 2006
500 S. UNIVERSITY, SUITE 505, LITTLE ROCK, AR 72205(501) 664-4532(501) 663-4335 Get Directions Write a Review

NPPES record last updated: March 2, 2010. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Katrina A Jackson Crna NPPES

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

KATRINA A JACKSON CRNA (NPI 1144318296) is an individual nurse anesthetist, certified registered in Little Rock, Arkansas, licensed in Arkansas (C00815) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1144318296
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameKATRINA A JACKSONCredential: CRNA
Location Address500 S. UNIVERSITY, SUITE 505Little Rock, AR 72205-5307
Mailing Address500 S. University, Suite 505Little Rock, AR 72205-5307 · (501) 664-4532 · Fax (501) 663-4335
Phone(501) 664-4532
Fax(501) 663-4335
Sole ProprietorNo
Enumeration DateOctober 11, 2006
Last NPPES UpdateMarch 2, 2010
✔ NPI 1144318296 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 · C00815
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 ListedAnesthesiologyTaxonomy 207L00000X · License C00815 (AR)
500 S. UNIVERSITY, Little Rock, AR 72205
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Other Identifiers 3

Medicare PIN5S440AR
Medicare PIN430063700AR
Other5S440AR · Ar Blue Cross Blue Shield

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Katrina A Jackson Crna is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Katrina Jackson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Arkansas Health Group
2.2 mi
Anesthesiology
9601 BAPTIST HEALTH DR
Little Rock, AR 72205
  • Reassigned Medicare billing, Arkansas enrollment
  • 253 clinicians in this Medicare group
NPI 1508800962 (501) 202-2093

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

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 removal of all or part of breast 00404
Anesthesia for breast surgery involves medication that prevents pain and makes you unaware during the procedure. It can be general (you're asleep) or local (numbs the area). The type used depends on the extent of the surgery. It's administered by a trained professional.
12 services12 patients

Other Providers at the Same Location NPPES 5

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

KIDNEY CARE CENTER, PLLC
Internal Medicine (Nephrology)
500 S. UNIVERSITY, SUITE 508
LITTLE ROCK, AR 72205
Pulaski County (208) 236-1600
MS. LISA MARIE LONGINOTTI CRNA
Nurse Anesthetist, Certified Registered
500 S. UNIVERSITY, SUITE 505
LITTLE ROCK, AR 72205
Pulaski County (501) 664-4532
EUGENE LU M.D.
Pediatrics
500 S. UNIVERSITY, SUITE 200
LITTLE ROCK, AR 72205
Pulaski County (501) 664-4117
TINA GOFF CRNA
Nurse Anesthetist, Certified Registered
500 S. UNIVERSITY, SUITE 505
LITTLE ROCK, AR 72205
Pulaski County (501) 664-4532
WILLIAM N. JONES, M.D., P.A.
Dermatology
500 S. UNIVERSITY, SUITE 708
LITTLE ROCK, AR 72205
Pulaski County (501) 664-0418

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 Katrina Jackson's NPI number?

The NPI number for Katrina Jackson is 1144318296. It was assigned to this individual provider in the NPPES registry on October 11, 2006.

Where is Katrina Jackson located?

Katrina Jackson practices at 500 S. University Suite 505, Little Rock, AR 72205. The listed phone number is (501) 664-4532.

What is Katrina Jackson's specialty?

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

Is Katrina Jackson enrolled in Medicare?

Yes. Katrina Jackson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Katrina Jackson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Katrina Jackson reassigns Medicare benefits to Arkansas Health Group (Little Rock, AR). The 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 Katrina Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Katrina Jackson was last updated on March 2, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.