BRADLEY DANIEL JACKSON CRNA
NPI 1578869475
Nurse Anesthetist, Certified Registered in Pensacola, FL

Active since February 10, 2011Accepts Medicare Assignment
87.17/100
CMS Quality Rating
4901 GRANDE DR, PENSACOLA, FL 32504(850) 477-7042(850) 474-9060 Get Directions Write a Review

NPPES record last updated: August 25, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Bradley Daniel Jackson Crna NPPES

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

BRADLEY DANIEL JACKSON CRNA (NPI 1578869475) is an individual nurse anesthetist, certified registered in Pensacola, Florida, licensed in Florida (ARNP9312860) and active in the NPI registry since February 2011. He is a graduate of Other (2010).

NPPES Registry Identity

NPI1578869475
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameBRADLEY DANIEL JACKSONCredential: CRNA
Location Address4901 GRANDE DRPensacola, FL 32504-5935
Mailing Address1301 Belleville AveBrewton, AL 36426-1306 · (251) 809-8429
Fax(850) 474-9060
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateFebruary 10, 2011
Last NPPES UpdateAugust 25, 2020
NPPES CertifiedAugust 25, 2020
NPI 1578869475 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 FL · ARNP9312860
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.

4901 GRANDE DR, Pensacola, FL 32504

Other Identifiers 5

OtherG00MEFL · Blue Cross Blue Shield
Medicaid003243800FL
Other592-13562AL · Blue Cross Blue Shield
OtherP00959140Medicare Railroad
Medicaid126061AL

Accepted 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

Bradley Daniel 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 ID5597946434
PECOS Enrollment IDI20200831000612

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 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.
26 services26 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.
18 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32504 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

87.17/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities0

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.

Anesthesiology
4901 GRANDE DR
PENSACOLA, FL 32504
Anesthesiology
4901 GRANDE DR
PENSACOLA, FL 32504
Anesthesiology
4901 GRANDE DR
PENSACOLA, FL 32504
Anesthesiology
4901 GRANDE DR
PENSACOLA, FL 32504
Anesthesiology
4901 GRANDE DR
PENSACOLA, FL 32504
Anesthesiology
4901 GRANDE DR
PENSACOLA, FL 32504
Anesthesiology
4901 GRANDE DR
PENSACOLA, FL 32504
Anesthesiology
4901 GRANDE DR
PENSACOLA, FL 32504

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 Bradley Jackson's NPI number?

The NPI number for Bradley Jackson is 1578869475. It was assigned to this individual provider in the NPPES registry on February 10, 2011.

Where is Bradley Jackson located?

Bradley Jackson practices at 4901 Grande Dr, Pensacola, FL 32504. The listed phone number is (850) 477-7042.

What is Bradley Jackson's specialty?

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

Is Bradley Jackson enrolled in Medicare?

Yes. Bradley 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.

What insurance does Bradley Jackson accept?

Health plans from Blue Cross and Blue Shield of Alabama list Bradley Jackson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bradley Jackson was last updated on August 25, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.