ROBERT J JACKSON CRNA
NPI 1295799112
Nurse Anesthetist, Certified Registered in Canton, OH

Active since April 17, 2006Accepts Medicare Assignment
82.89/100
CMS Quality Rating
2600 SIXTH STREET SW, OHIO HOSPITAL BASED PHYSICIAN CORP, CANTON, OH 44710(330) 363-7462(330) 363-7679 Get Directions Write a Review

NPPES record last updated: June 30, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Robert J Jackson Crna NPPES

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

ROBERT J JACKSON CRNA (NPI 1295799112) is an individual nurse anesthetist, certified registered in Canton, Ohio, licensed in Ohio (COA01766NA) and active in the NPI registry since April 2006. He is affiliated with Aultman Hospital and is a graduate of Other (1985).

NPPES Registry Identity

NPI1295799112
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameROBERT J JACKSONCredential: CRNA
Location Address2600 SIXTH STREET SW, OHIO HOSPITAL BASED PHYSICIAN CORPCanton, OH 44710
Mailing AddressPo Box 80690Canton, OH 44708-0690 · (330) 363-7444 · Fax (330) 363-7770
Fax(330) 363-7679
Sole ProprietorNo
Medical School CMSOtherGraduated 1985
Enumeration DateApril 17, 2006
Last NPPES UpdateJune 30, 2022
NPPES CertifiedJune 30, 2022
NPI 1295799112 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 OH · COA01766NA
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.

2600 SIXTH STREET SW, Canton, OH 44710

Other Identifiers 1

Medicaid0793164OH

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

Robert J 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 ID6507869179
PECOS Enrollment IDI20060821000506

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 other procedure on skin of arms, legs, and front body 00400
Anesthesia for procedures on the skin of your arms, legs, and front body is a service that numbs the area being treated. This ensures you don't feel pain during procedures like biopsies, stitches, or minor surgeries. It's administered through a small injection or a topical cream.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Aultman Hospital

Acute Care Hospitals · Canton, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360084
Location2600 Sixth Street SWCanton, OH 44710 · Stark County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44710 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

82.89/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.14
Promoting Interoperability100
Improvement Activities40
Cost73.83

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.

Internal Medicine
2600 SIXTH STREET SW, AULTMAN HOSPITAL
CANTON, OH 44710
Nurse Anesthetist, Certified Registered
2600 SIXTH STREET SW, OHIO HOSPITAL BASED PHYSICIAN CORP
CANTON, OH 44710
Nurse Anesthetist, Certified Registered
2600 SIXTH STREET SW, OHIO HOSPITAL BASED PHYSICIAN CORP
CANTON, OH 44710
Family Medicine
2600 SIXTH STREET SW, AULTMAN HOSPITAL
CANTON, OH 44710
Family Medicine
2600 SIXTH STREET SW, AULTMAN HOSPITAL
CANTON, OH 44710
Family Medicine
2600 SIXTH STREET SW, AULTMAN HOSPITAL
CANTON, OH 44710
Nurse Anesthetist, Certified Registered
2600 SIXTH STREET SW, OHIO HOSPITAL BASED PHYSICIAN CORP
CANTON, OH 44710
Family Medicine
2600 SIXTH STREET SW, AULTMAN HOSPITAL
CANTON, OH 44710

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 Robert Jackson's NPI number?

The NPI number for Robert Jackson is 1295799112. It was assigned to this individual provider in the NPPES registry on April 17, 2006.

Where is Robert Jackson located?

Robert Jackson practices at 2600 Sixth Street SW Ohio Hospital Based Physician Corp, Canton, OH 44710. The listed phone number is (330) 363-7462.

What is Robert Jackson's specialty?

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

Is Robert Jackson enrolled in Medicare?

Yes. Robert 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 Robert Jackson affiliated with any hospitals?

According to CMS data, Robert Jackson is affiliated with Aultman Hospital.

When was this NPI record last updated?

The NPPES record for Robert Jackson was last updated on June 30, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.