KEITH E JACKSON CRNA
NPI 1205866142
Nurse Anesthetist, Certified Registered in Tuscaloosa, AL

Active since July 04, 2006Accepts Medicare Assignment
100 RICE MINE RD N, TUSCALOOSA, AL 35406(205) 354-0010 Get Directions Write a Review

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

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

NPI1205866142
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameKEITH E JACKSONCredential: CRNA
Location Address100 RICE MINE RD NTuscaloosa, AL 35406-2300
Mailing Address712 Robin RdBirmingham, AL 35214-3524 · (205) 213-8420 · Fax (205) 798-5918
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateJuly 4, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1205866142 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 AL · 1-080730
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.
100 RICE MINE RD N, Tuscaloosa, AL 35406

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID2567449572
PECOS Enrollment IDI20040707000524

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 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.
12 services12 patients

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.

New Patient
$122.31 typical visit price
range $52.65 – $161.63
Typical copayment $30.57 (range $13.16 – $40.40)
Most-billed visit code 99204
Established Patient
$66.08 typical visit price
range $16.56 – $131.65
Typical copayment $16.52 (range $4.14 – $32.91)
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.

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.

Dentist (General Practice)
100 RICE MINE RD N, SUITE D
TUSCALOOSA, AL 35406
Internal Medicine
100 RICE MINE RD N, SUITE B
TUSCALOOSA, AL 35406
Internal Medicine (Gastroenterology)
100 RICE MINE RD N, SUITE E
TUSCALOOSA, AL 35406
Anesthesiology
100 RICE MINE RD N, STE E
TUSCALOOSA, AL 35406
Internal Medicine
100 RICE MINE RD N, SUITE B
TUSCALOOSA, AL 35406
Nurse Practitioner (Family)
100 RICE MINE RD N, SUITE B
TUSCALOOSA, AL 35406
Internal Medicine (Gastroenterology)
100 RICE MINE RD N, SUITE E
TUSCALOOSA, AL 35406
Internal Medicine
100 RICE MINE RD N, SUITE B
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.

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.