LORI ELIZABETH JACKSON CRNA
NPI 1538778386
Nurse Anesthetist, Certified Registered in Fort Wayne, IN

Q: What is Lori Jackson's NPI number?

The NPI number for Lori Jackson is 1538778386. It was assigned to this individual provider in the NPPES registry on July 28, 2020.

Q: What is Lori Jackson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Lori Jackson was last updated on July 12, 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.

Active since July 28, 2020Accepts Medicare Assignment

61.07/100

CMS Quality Rating

10315 DAWSONS CREEK BLVD STE AB, FORT WAYNE, IN 46825(260) 436-7875(260) 432-9812 Get Directions Write a Review

NPPES record last updated: July 12, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 12, 2023, Jul 28, 2020 (2 updates tracked since 2020).

On this page

About Lori Elizabeth Jackson Crna NPPES

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

LORI ELIZABETH JACKSON CRNA (NPI 1538778386) is an individual nurse anesthetist, certified registered in Fort Wayne, Indiana, licensed in Indiana (28169386A) and active in the NPI registry since July 2020. She is affiliated with Lutheran Hospital Of Indiana and is a graduate of Other (2020).

NPPES Registry Identity

NPI1538778386

Entity TypeIndividualFemale

Primary Taxonomy367500000X

Provider Legal NameLORI ELIZABETH JACKSONCredential: CRNA

Location Address10315 DAWSONS CREEK BLVD STE ABFort Wayne, IN 46825-1912

Mailing AddressPo Box 843603Dallas, TX 75284-0001 · (972) 233-1999 · Fax (972) 233-3666

Phone(260) 436-7875

Fax(260) 432-9812

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateJuly 28, 2020

Last NPPES UpdateJuly 12, 20232 updates tracked since enumeration

NPPES CertifiedJuly 12, 2023

✔ NPI 1538778386 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 IN · 28169386A

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.

10315 DAWSONS CREEK BLVD STE AB, Fort Wayne, IN 46825

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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

Lori Elizabeth 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 ID749609808

PECOS Enrollment IDI20200923002473

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 extensive surgery on spine 00670

Anesthesia for extensive spine surgery involves medication to block pain and make you unconscious during the procedure. It ensures comfort and prevents movement. Two types may be used: general (you sleep) or regional (numbs a large area). The choice depends on the surgery specifics and your health.

27 services27 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.

25 services25 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.

13 services13 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.

12 services12 patients

Hospital Affiliations CMS Care Compare 4

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

Lutheran Hospital Of Indiana

Acute Care Hospitals · Fort Wayne, IN

3/5 CMS rating

OwnershipProprietary

CMS Certification Number150017

Location7950 W Jefferson BlvdFort Wayne, IN 46804 · Allen County

Emergency services Birthing friendly

Bluffton Regional Medical Center

Acute Care Hospitals · Bluffton, IN

4/5 CMS rating

OwnershipProprietary

CMS Certification Number150075

Location303 S Main StBluffton, IN 46714 · Wells County

Emergency services Birthing friendly

Dupont Hospital LLC

Acute Care Hospitals · Fort Wayne, IN

4/5 CMS rating

OwnershipProprietary

CMS Certification Number150150

Location2520 E Dupont RdFort Wayne, IN 46825 · Allen County

Emergency services Birthing friendly

The Orthopaedic Hospital Of Lutheran Health Networ

Acute Care Hospitals · Fort Wayne, IN

OwnershipProprietary

CMS Certification Number150168

Location7952 W Jefferson BlvdFort Wayne, IN 46804 · Allen County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46825 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

$122.49 typical visit price

range $53.07 – $161.76

Typical copayment $30.62 (range $13.26 – $40.44)

Most-billed visit code 99204

Established Patient

$66.48 typical visit price

range $16.93 – $132.22

Typical copayment $16.62 (range $4.23 – $33.05)

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.

61.07/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

54.2

Improvement Activities

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.

JENNA GLORIA GARDNER CAA

Anesthesiologist Assistant