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MR. JONATHAN WESLEY JACKSON CRNA
NPI 1629273735
Nurse Anesthetist, Certified Registered in Laurinburg, NC

Active since June 19, 2007Accepts Medicare Assignment
80.33/100
CMS Quality Rating
500 LAUCHWOOD DRIVE, LAURINBURG, NC 28352(910) 610-4011(910) 276-9412 Get Directions Write a Review

NPPES record last updated: May 1, 2014. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Mr. Jonathan Wesley Jackson Crna NPPES

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

MR. JONATHAN WESLEY JACKSON CRNA (NPI 1629273735) is an individual nurse anesthetist, certified registered in Laurinburg, North Carolina, licensed in North Carolina (190408) and active in the NPI registry since June 2007. He is affiliated with Central Carolina Hospital and is a graduate of Other (2007).

NPPES Registry Identity

NPI1629273735
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameMR. JONATHAN WESLEY JACKSONCredential: CRNA
Location Address500 LAUCHWOOD DRIVELaurinburg, NC 28352-5501
Mailing AddressPo Box 2257Laurinburg, NC 28353-2257 · (910) 610-4011 · Fax (910) 276-0571
Phone(910) 610-4011
Fax(910) 276-9412
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateJune 19, 2007
Last NPPES UpdateMay 1, 2014
✔ NPI 1629273735 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
Licenses✔ Licensed in NC · 190408✔ Licensed in SC · APRN3271
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.
500 LAUCHWOOD DRIVE, Laurinburg, NC 28352
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Other Identifiers 3

Medicaid8053701NC
Medicare PINQ37755ANC
Other077609NC · Ccna Certification

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina.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

Mr. Jonathan Wesley 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 ID6901997329
PECOS Enrollment IDI20090808000070

Medicare Billing Reassignments

7

Medicare enrollment records show Jonathan Jackson reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Scotland Memorial Hospital Inc
0.1 mi
Nurse Anesthetist, Certified Registered
500 E LAUCHWOOD DR
Laurinburg, NC 28352
  • Reassigned Medicare billing, North Carolina enrollment
  • 56 clinicians in this Medicare group
NPI 1407840374 (910) 291-7000
Firsthealth Of The Carolinas, Inc
31 mi
Nurse Anesthetist, Certified Registered
155 MEMORIAL DR
Pinehurst, NC 28374
  • Reassigned Medicare billing, North Carolina enrollment
  • 154 clinicians in this Medicare group
NPI 1851477970 (910) 715-1010
Pinehurst Surgical Clinic PA
32 mi
Surgery
5 FIRST VILLAGE DRIVE
Pinehurst, NC 28374
  • Reassigned Medicare billing, North Carolina enrollment
  • 97 clinicians in this Medicare group
NPI 1962434324 (910) 295-6831
Prolific Anesthesia Services, PLLC
109 mi
Anesthesiology
1705 TARBORO ST SW
Wilson, NC 27893
  • Reassigned Medicare billing, North Carolina enrollment
  • 17 clinicians in this Medicare group
NPI 1669231452 (205) 410-1871
East Carolina Anesthesia Associates, PLLC
131 mi
Anesthesiology
2100 STANTONSBURG RD
Greenville, NC 27834
  • Reassigned Medicare billing, North Carolina enrollment
  • 1,097 clinicians in this Medicare group
NPI 1205996519 (252) 847-4100
Anesthesia Care Services, PA
181 mi
Nurse Anesthetist, Certified Registered
1834 GRAVES MILL ROAD
Forest, VA 24551
  • Reassigned Medicare billing, North Carolina enrollment
  • 207 clinicians in this Medicare group
NPI 1609833474 (888) 447-7220
Medstream Anesthesia PLLC
998 mi
Anesthesiology
2221 LAKESIDE BLVD STE 600
Richardson, TX 75082
  • Reassigned Medicare billing, North Carolina enrollment
  • 493 clinicians in this Medicare group
NPI 1649616160 (828) 210-9386

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 exam of colon using an endoscope 00812
Anesthesia for a colon examination with an endoscope is a method used to ensure comfort during the procedure. It involves administering medication to help you relax or sleep, thus reducing discomfort as the endoscope, a thin, flexible tube, is navigated through your colon.
47 services46 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.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Central Carolina Hospital

Acute Care Hospitals · Sanford, NC
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340020
Location1135 Carthage StSanford, NC 27330 · Lee County
Emergency services Birthing friendly

Wilson Medical Center

Acute Care Hospitals · Wilson, NC
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340126
Location1705 S Tarboro StWilson, NC 27893 · Wilson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28352 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

80.33/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.68
Improvement Activities20

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ANDREW PHILIP BROWN MD
Radiology (Radiation Oncology)
500 LAUCHWOOD DRIVE, SCOTLAND CANCER TREATMENT CENTER
LAURINBURG, NC 28352
Scotland County (910) 291-7120
KATHERINE BLACKMON
Nurse Practitioner (Family)
500 LAUCHWOOD DRIVE
LAURINBURG, NC 28352
Scotland County (910) 291-7700
MS. TAMMY WELCH MYATT IBCLC, RLC
Lactation Consultant, Non-RN
500 LAUCHWOOD DRIVE
LAURINBURG, NC 28352
Scotland County (910) 291-6806

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 Jonathan Jackson's NPI number?

The NPI number for Jonathan Jackson is 1629273735. It was assigned to this individual provider in the NPPES registry on June 19, 2007.

Where is Jonathan Jackson located?

Jonathan Jackson practices at 500 Lauchwood Drive, Laurinburg, NC 28352. The listed phone number is (910) 610-4011.

What is Jonathan Jackson's specialty?

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

Is Jonathan Jackson enrolled in Medicare?

Yes. Jonathan 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 Jonathan Jackson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jonathan Jackson reassigns Medicare benefits to 7 organizations: Scotland Memorial Hospital Inc (Laurinburg, NC), Firsthealth Of The Carolinas, Inc (Pinehurst, NC), Pinehurst Surgical Clinic PA (Pinehurst, NC), Prolific Anesthesia Services, PLLC (Wilson, NC), East Carolina Anesthesia Associates, PLLC (Greenville, NC) and 2 more organizations, listed in the Medicare section above. 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 Jonathan Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jonathan Jackson accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care and Ambetter of North Carolina list Jonathan 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.

Is Jonathan Jackson affiliated with any hospitals?

According to CMS data, Jonathan Jackson is affiliated with Central Carolina Hospital and Wilson Medical Center.

When was this NPI record last updated?

The NPPES record for Jonathan Jackson was last updated on May 1, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.