MR. DAVID SCOTT JACKSON CRNA
NPI 1467165498
Nurse Anesthetist, Certified Registered in Waconia, MN
About Mr. David Scott Jackson Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. DAVID SCOTT JACKSON CRNA (NPI 1467165498) is an individual nurse anesthetist, certified registered in Waconia, Minnesota, licensed in Minnesota (145148) and active in the NPI registry since January 2023. He is enrolled in Medicare PECOS, is affiliated with Ridgeview Medical Center, and maintains a secondary practice location in Chaska.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mr. David Scott 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.
Medicare Billing Reassignments
2Medicare enrollment records show David Jackson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Waconia, MN 55387
- Reassigned Medicare billing, Minnesota enrollment
- 581 clinicians in this Medicare group
Plymouth, MN 55447
- Reassigned Medicare billing, Minnesota enrollment
- 1,033 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Ridgeview Medical Center
Acute Care Hospitals · Waconia, MNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55387 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
WACONIA, MN 55387
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 David Jackson's NPI number?
The NPI number for David Jackson is 1467165498. It was assigned to this individual provider in the NPPES registry on January 4, 2023.
Where is David Jackson located?
David Jackson practices at 500 S Maple St, Waconia, MN 55387. The listed phone number is (952) 442-2191.
What is David Jackson's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is David Jackson enrolled in Medicare?
Yes. David 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.
Which organizations bill Medicare for David Jackson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), David Jackson reassigns Medicare benefits to 2 organizations: Ridgeview Medical Center (Waconia, MN) and Metropolitan Anesthesia Network, LLP (Plymouth, MN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for David Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is David Jackson affiliated with any hospitals?
According to CMS data, David Jackson is affiliated with Ridgeview Medical Center.
When was this NPI record last updated?
The NPPES record for David Jackson was last updated on January 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Mr. David Scott Jackson, CRNA · NPI 1467165498
Nurse Anesthetist, Certified Registered physician in Waconia, Minnesota. Individual provider, active in the CMS NPPES registry since January 4, 2023.
## Identity
- **NPI:** 1467165498 (Entity type: Individual)
- **Enumerated:** January 4, 2023
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 145148 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 500 S MAPLE ST, Waconia, MN 55387-1791
- **Phone:** (952) 442-2191
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Ridgeview Medical Center (NPI 1275608457, Waconia, MN); Metropolitan Anesthesia Network, LLP (NPI 1558314427, Plymouth, MN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** January 4, 2023
---
Source: [NPI Profile](https://npiprofile.com/npi/1467165498) · Data from the CMS NPPES public registry.