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LISA ANN JACKSON CRNA
NPI 1215174990
Nurse Anesthetist, Certified Registered in Havertown, PA

Active since January 16, 2009Accepts Medicare Assignment
2010 OLD W CHESTER PIKE, SUITE 330, HAVERTOWN, PA 19083(610) 789-8070(610) 789-9937 Get Directions Write a Review

NPPES record last updated: January 16, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lisa Ann Jackson Crna NPPES

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

LISA ANN JACKSON CRNA (NPI 1215174990) is an individual nurse anesthetist, certified registered in Havertown, Pennsylvania, licensed in Pennsylvania (081637) and active in the NPI registry since January 2009. She is affiliated with Einstein Medical Center Montgomery and is a graduate of Other (2008).

NPPES Registry Identity

NPI1215174990
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameLISA ANN JACKSONCredential: CRNA
Location Address2010 OLD W CHESTER PIKE, SUITE 330Havertown, PA 19083-2712
Mailing AddressPo Box 650782Dallas, TX 75265 · (610) 789-8070 · Fax (610) 789-9937
Phone(610) 789-8070
Fax(610) 789-9937
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateJanuary 16, 2009
✔ NPI 1215174990 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 PA · 081637
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.
2010 OLD W CHESTER PIKE, Havertown, PA 19083
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Other Names 1

Former Name (1)Lisa Ann Vignola Jackson Crna

Other Identifiers 2

OtherRN328670LPA · Rn License
Other081637PA · Aana

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

Lisa Ann 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 ID6608932017
PECOS Enrollment IDI20090311000078

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 exam of colon using an endoscope 00812
Anesthesia for a colon examination with an endoscope is a method used to ensure comfort during the procedure. It involves administering medication to help you relax or sleep, thus reducing discomfort as the endoscope, a thin, flexible tube, is navigated through your colon.
12 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Einstein Medical Center Montgomery

Acute Care Hospitals · East Norriton, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390329
Location559 West Germantown PikeEast Norriton, PA 19403 · Montgomery County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19083 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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.

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.

Reported Quality Measures

Post-Anesthetic Transfer of Care Measure: Procedure Room to a Post Anesthesia Care Unit (PACU)
Percentage of patients, regardless of age, who are under the care of an anesthesia practitioner and are admitted to a PACU or other non-ICU location in which a post-anesthetic formal transfer of care protocol or checklist which includes the key transfer of…
100%433 patients5/55-star benchmark: 100%
Post-Anesthetic Transfer of Care: Use of Checklist or Protocol for Direct Transfer of Care from Procedure Room to Intensive Care Unit (ICU)
Percentage of patients, regardless of age, who undergo a procedure under anesthesia and are admitted to an Intensive Care Unit (ICU) directly from the anesthetizing location, who have a documented use of a checklist or protocol for the transfer of care from…
100%29 patients
Prevention of Post-Operative Nausea and Vomiting (PONV) - Combination Therapy
Percentage of patients, aged 18 years and older, who undergo a procedure under an inhalational general anesthetic, AND who have three or more risk factors for post-operative nausea and vomiting (PONV), who receive combination therapy consisting of at least…
100%206 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES

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

VIJAYA DUKLE MD
Anesthesiology
2010 OLD W CHESTER PIKE
HAVERTOWN, PA 19083
Delaware County (302) 709-4497

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 Lisa Ann Jackson's NPI number?

The NPI number for Lisa Ann Jackson is 1215174990. It was assigned to this individual provider in the NPPES registry on January 16, 2009. The provider is also known as Lisa Ann Vignola Jackson Crna.

Where is Lisa Ann Jackson located?

Lisa Ann Jackson practices at 2010 Old W Chester Pike Suite 330, Havertown, PA 19083. The listed phone number is (610) 789-8070.

What is Lisa Ann Jackson's specialty?

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

Is Lisa Ann Jackson enrolled in Medicare?

Yes. Lisa Ann 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.

Is Lisa Ann Jackson affiliated with any hospitals?

According to CMS data, Lisa Ann Jackson is affiliated with Einstein Medical Center Montgomery.

When was this NPI record last updated?

The NPPES record for Lisa Ann Jackson was last updated on January 16, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.