LYLE JEREMY JACKSON CRNA
NPI 1225597305
Registered Nurse - Orthopedic in Idaho Falls, ID

Q: What is Lyle Jackson's NPI number?

The NPI number for Lyle Jackson is 1225597305. It was assigned to this individual provider in the NPPES registry on March 18, 2019.

Q: What is Lyle Jackson's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Orthopedic, with taxonomy code 163WX0800X.

Q: When was this NPI record last updated?

The NPPES record for Lyle Jackson was last updated on June 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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 March 18, 2019Accepts Medicare Assignment

2325 CORONADO ST, IDAHO FALLS, ID 83404(208) 557-2700 Get Directions Write a Review

NPPES record last updated: June 30, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 30, 2025, Sep 14, 2022, Mar 18, 2019 (3 updates tracked since 2019).

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About Lyle Jeremy Jackson Crna NPPES

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

LYLE JEREMY JACKSON CRNA (NPI 1225597305) is an individual orthopedic provider in Idaho Falls, Idaho, licensed in Idaho (62439) and active in the NPI registry since March 2019. He is affiliated with Mountain View Hospital and is a graduate of Other (2019).

NPPES Registry Identity

NPI1225597305

Entity TypeIndividualMale

Primary Taxonomy163WX0800X

Provider Legal NameLYLE JEREMY JACKSONCredential: CRNA

Location Address2325 CORONADO STIdaho Falls, ID 83404-7407

Mailing Address1090 Barney Dairy RdRexburg, ID 83440-3542 · (801) 319-9345

Phone(208) 557-2700

Sole ProprietorYes

Medical School CMSOtherGraduated 2019

Enumeration DateMarch 18, 2019

Last NPPES UpdateJune 30, 20253 updates tracked since enumeration

NPPES CertifiedJune 30, 2025

✔ NPI 1225597305 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRegistered Nurse · OrthopedicNursing Service Providers

Taxonomy Code163WX0800X

License✔ Licensed in ID · 62439

Also ListedNurse Anesthetist, Certified RegisteredTaxonomy 367500000X · License 125895 (VA), D183481 (IA)

2325 CORONADO ST, Idaho Falls, ID 83404

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Oscar Insurance Company.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

Lyle Jeremy 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 ID9931434586

PECOS Enrollment IDI20210422003117, I20230505001511, I20250607000144

Areas of Expertise CMS Part B claims 4

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 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.

20 services20 patients

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.

19 services19 patients

Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve) 64447

This procedure involves injecting a numbing agent and/or steroid into a nerve in your thigh. It's done to alleviate pain or inflammation. A needle will be carefully positioned near the nerve, and the medicine will be administered.

17 services17 patients

Anesthesia for procedure for total knee joint replacement 01402

Anesthesia for a total knee joint replacement numbs your body to eliminate pain during surgery. This could be general anesthesia where you're unconscious, or regional anesthesia where only the leg is numb. It's administered by a specialist, ensuring safety and comfort.

11 services11 patients

Hospital Affiliations CMS Care Compare 5

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

Mountain View Hospital

Acute Care Hospitals · Idaho Falls, ID

1/5 CMS rating

OwnershipPhysician

CMS Certification Number130065

Location2325 Coronado StreetIdaho Falls, ID 83404 · Bonneville County

Emergency services Birthing friendly

Idaho Falls Community Hospital, LLC

Acute Care Hospitals · Idaho Falls, ID

3/5 CMS rating

OwnershipProprietary

CMS Certification Number130074

Location2327 Coronado StIdaho Falls, ID 83404 · Bonneville County

Emergency services

Union Hospital Inc

Acute Care Hospitals · Terre Haute, IN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150023

Location1606 N Seventh StTerre Haute, IN 47804 · Vigo County

Emergency services Birthing friendly

Mercyone North Iowa Medical Center

Acute Care Hospitals · Mason City, IA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number160064

Location1000 Fourth Street SWMason City, IA 50401 · Cerro Gordo County

Emergency services Birthing friendly

Mercyone Des Moines Medical Center

Acute Care Hospitals · Des Moines, IA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number160083

Location1111 6th AveDes Moines, IA 50314 · Polk County

Emergency services Birthing friendly

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.

MR. MORGAN TIUS GARRIOTT MSN, APRN, CNP, FNP

Nurse Practitioner (Family)