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MICHAEL F JACKSON CRNA
NPI 1538149265
Nurse Anesthetist, Certified Registered in Saint Louis, MO

Active since January 19, 2006
12639 OLD TESSON RD STE 130, SAINT LOUIS, MO 63128(636) 386-7222(636) 386-7810 Get Directions Write a Review

NPPES record last updated: January 30, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Michael F Jackson Crna NPPES

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

MICHAEL F JACKSON CRNA (NPI 1538149265) is an individual nurse anesthetist, certified registered in Saint Louis, Missouri, licensed in Missouri (106810) and active in the NPI registry since January 2006. He maintains a secondary practice location in Saint Louis.

NPPES Registry Identity

NPI1538149265
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameMICHAEL F JACKSONCredential: CRNA
Location Address12639 OLD TESSON RD STE 130Saint Louis, MO 63128-4814
Mailing AddressPo Box 22407Saint Louis, MO 63126-0407 · (636) 386-7222 · Fax (636) 386-7810
Phone(636) 386-7222
Fax(636) 386-7810
Sole ProprietorNo
Enumeration DateJanuary 19, 2006
Last NPPES UpdateJanuary 30, 2026
NPPES CertifiedJanuary 30, 2026
✔ NPI 1538149265 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 MO · 106810
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.
12639 OLD TESSON RD STE 130, Saint Louis, MO 63128
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Secondary Practice Location 1

Location 110010 Kennerly RdSaint Louis, MO 63128-2106 · Phone (636) 386-7222 ext. 157 · Fax (636) 386-7810

Other Identifiers 1

Medicaid913910147MO

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael F Jackson Crna is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignments

2

Medicare enrollment records show Michael Jackson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

South County Anesthesia Associates, Ltd.
0.2 mi
Anesthesiology
10010 KENNERLY RD
Saint Louis, MO 63128
  • Reassigned Medicare billing, Missouri enrollment
  • 106 clinicians in this Medicare group
NPI 1821031659 (636) 386-7222
Metro-West Anesthesia Group Inc
13 mi
Anesthesiology
400 S WOODS MILL RD, STE 140
Chesterfield, MO 63017
  • Reassigned Medicare billing, Missouri enrollment
  • 221 clinicians in this Medicare group
NPI 1245427335 (314) 485-1101

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 2

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 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.
32 services30 patients
Anesthesia for total hip replacement 01214
Anesthesia for total hip replacement is a medical service where medication is given to eliminate pain during surgery. Two types are commonly used: general anesthesia, making you unconscious, or spinal anesthesia, numbing the lower body. The choice depends on your health and your doctor's recommendation.
11 services11 patients

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 Michael Jackson's NPI number?

The NPI number for Michael Jackson is 1538149265. It was assigned to this individual provider in the NPPES registry on January 19, 2006.

Where is Michael Jackson located?

Michael Jackson practices at 12639 Old Tesson Rd Ste 130, Saint Louis, MO 63128. The listed phone number is (636) 386-7222.

What is Michael Jackson's specialty?

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

Is Michael Jackson enrolled in Medicare?

Yes. Michael Jackson is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Michael Jackson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Jackson reassigns Medicare benefits to 2 organizations: South County Anesthesia Associates, Ltd. (Saint Louis, MO) and Metro-West Anesthesia Group Inc (Chesterfield, MO). 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 Michael Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Michael Jackson was last updated on January 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.