BRADLEY DANIEL JACKSON CRNA
NPI 1578869475
Nurse Anesthetist, Certified Registered in Pensacola, FL
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
Specialties & Licenses
Other Identifiers 5
Accepted Insurance
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
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.
Medicare Billing Reassignment
Medicare enrollment records show Bradley Jackson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Brewton, AL 36426
- Reassigned Medicare billing, Alabama enrollment
- 12 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 3
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.
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.
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.
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.
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.
Which organization bills Medicare for Bradley Jackson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Bradley Jackson reassigns Medicare benefits to D.W. Mcmillan Memorial Hospital (Brewton, AL). The 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 Bradley Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Bradley Daniel Jackson, CRNA · NPI 1578869475
Nurse Anesthetist, Certified Registered physician in Pensacola, Florida. Individual provider, active in the CMS NPPES registry since February 10, 2011.
## Identity
- **NPI:** 1578869475 (Entity type: Individual)
- **Enumerated:** February 10, 2011
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** ARNP9312860 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 4901 GRANDE DR, Pensacola, FL 32504-5935
- **Phone:** (850) 477-7042 · **Fax:** (850) 474-9060
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** D.W. Mcmillan Memorial Hospital (NPI 1679196927, Brewton, AL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2010
## Record status
- **NPPES last updated:** August 25, 2020
- **Other identifiers:** Other G00ME (FL); Medicaid 003243800 (FL); Other 592-13562 (AL); and 2 more
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Source: [NPI Profile](https://npiprofile.com/npi/1578869475) · Data from the CMS NPPES public registry.