LESLIE K JACKSON CRNA
NPI 1215087689
Anesthesiologist Assistant in Wilmington, DE

Q: What is Leslie Jackson's NPI number?

The NPI number for Leslie Jackson is 1215087689. It was assigned to this individual provider in the NPPES registry on January 10, 2007.

Q: What is Leslie Jackson's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Q: When was this NPI record last updated?

The NPPES record for Leslie Jackson was last updated on October 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since January 10, 2007Accepts Medicare Assignment

1600 ROCKLAND ROAD, WILMINGTON, DE 19803(302) 651-4200(302) 651-5365 Get Directions Write a Review

NPPES record last updated: October 3, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 3, 2023, Aug 7, 2023, Dec 10, 2015 (3 updates tracked since 2015).

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About Leslie K Jackson Crna NPPES

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

LESLIE K JACKSON CRNA (NPI 1215087689) is an individual anesthesiologist assistant in Wilmington, Delaware, licensed in Delaware (L6-0A00529) and active in the NPI registry since January 2007. She is a graduate of Other (2006).

NPPES Registry Identity

NPI1215087689

Entity TypeIndividualFemale

Primary Taxonomy367H00000X

Provider Legal NameLESLIE K JACKSONCredential: CRNA

Location Address1600 ROCKLAND ROADWilmington, DE 19803-3607

Mailing AddressP O Box 191Rockland, DE 19723-0191 · (302) 651-4000 · Fax (302) 651-4945

Phone(302) 651-4200

Fax(302) 651-5365

Sole ProprietorNo

Medical School CMSOtherGraduated 2006

Enumeration DateJanuary 10, 2007

Last NPPES UpdateOctober 3, 20233 updates tracked since enumeration

NPPES CertifiedOctober 3, 2023

✔ NPI 1215087689 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367H00000X

License✔ Licensed in DE · L6-0A00529

Definition

An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.

Also ListedNurse Anesthetist, Certified RegisteredTaxonomy 367500000X · License RN1004822 (DC), L6-0A00529 (DE)

1600 ROCKLAND ROAD, Wilmington, DE 19803

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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

Leslie K 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 ID4385743707

PECOS Enrollment IDI20070626000774

Areas of Expertise CMS Part B claims 3

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 other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731

This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.

44 services44 patients

Anesthesia for other procedure on large bowel using an endoscope 00811

Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.

22 services22 patients

Anesthesia for other closed procedure on chest 00520

Anesthesia for a closed chest procedure involves the use of medications to block sensation, ensuring you don't feel pain during the procedure. It can be general (you're asleep) or regional (part of your body is numbed). This helps maintain comfort and safety.

12 services12 patients

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.

DR. CATHERINE F. BODAK-GYOVAI MD

Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)