KEITH E JACKSON CRNA
NPI 1205866142
Nurse Anesthetist, Certified Registered in Tuscaloosa, AL
About Keith E Jackson Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KEITH E JACKSON CRNA (NPI 1205866142) is an individual nurse anesthetist, certified registered in Tuscaloosa, Alabama, licensed in Alabama (1-080730) and active in the NPI registry since July 2006. He is a graduate of Other (2000).
NPPES Registry Identity
Specialties & Licenses
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
Keith E 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
2Medicare enrollment records show Keith Jackson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Vestavia, AL 35243
- Reassigned Medicare billing, Alabama enrollment
- 9 clinicians in this Medicare group
Ashland, AL 36251
- Reassigned Medicare billing, Alabama enrollment
- 32 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
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 35406 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 16
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
TUSCALOOSA, AL 35406
TUSCALOOSA, AL 35406
TUSCALOOSA, AL 35406
TUSCALOOSA, AL 35406
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 Keith Jackson's NPI number?
The NPI number for Keith Jackson is 1205866142. It was assigned to this individual provider in the NPPES registry on July 4, 2006.
Where is Keith Jackson located?
Keith Jackson practices at 100 Rice Mine Rd N, Tuscaloosa, AL 35406. The listed phone number is (205) 354-0010.
What is Keith Jackson's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Keith Jackson enrolled in Medicare?
Yes. Keith 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 Keith Jackson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Keith Jackson reassigns Medicare benefits to 2 organizations: Patriot Perioperative Partners, Inc. (Vestavia, AL) and Clay County Healthcare Authority (Ashland, AL). 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 Keith Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Keith Jackson accept?
Health plans from Blue Cross and Blue Shield of Alabama list Keith 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 Keith 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.
# Keith E Jackson, CRNA · NPI 1205866142
Nurse Anesthetist, Certified Registered physician in Tuscaloosa, Alabama. Individual provider, active in the CMS NPPES registry since July 4, 2006.
## Identity
- **NPI:** 1205866142 (Entity type: Individual)
- **Enumerated:** July 4, 2006
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 1-080730 (Alabama)
- **Sole proprietor:** No
## Practice location
- **Address:** 100 RICE MINE RD N, Tuscaloosa, AL 35406-2300
- **Phone:** (205) 354-0010
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Patriot Perioperative Partners, Inc. (NPI 1386194454, Vestavia, AL); Clay County Healthcare Authority (NPI 1467624262, Ashland, AL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2000
## Record status
- **NPPES last updated:** July 8, 2007
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Source: [NPI Profile](https://npiprofile.com/npi/1205866142) · Data from the CMS NPPES public registry.