GARY L JACKSON CRNA
NPI 1700884947
Nurse Anesthetist, Certified Registered in Texarkana, TX
About Gary L Jackson Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GARY L JACKSON CRNA (NPI 1700884947) is an individual nurse anesthetist, certified registered in Texarkana, Texas, licensed in Texas (231425) and active in the NPI registry since July 2005. He is affiliated with Christus Mother Frances Hospital and is a graduate of Other (1978).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 6
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
Gary L 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 Reassignments
4Medicare enrollment records show Gary Jackson reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Texarkana, TX 75503
- Reassigned Medicare billing, Texas enrollment
- 76 clinicians in this Medicare group
Arlington, TX 76006
- Reassigned Medicare billing, Texas enrollment
- 1,164 clinicians in this Medicare group
Fort Worth, TX 76109
- Reassigned Medicare billing, Texas enrollment
- 1,612 clinicians in this Medicare group
New Iberia, LA 70563
- Reassigned Medicare billing, Texas enrollment
- 282 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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Christus Mother Frances Hospital
Acute Care Hospitals · Tyler, TXChristus St Michael Health System
Acute Care Hospitals · Texarkana, TXPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 75503 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
TEXARKANA, TX 75503
TEXARKANA, TX 75503
TEXARKANA, TX 75503
TEXARKANA, TX 75503
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 Gary Jackson's NPI number?
The NPI number for Gary Jackson is 1700884947. It was assigned to this individual provider in the NPPES registry on July 12, 2005.
Where is Gary Jackson located?
Gary Jackson practices at 4100 Summerhill Rd, Texarkana, TX 75503. The listed phone number is (903) 735-9802.
What is Gary Jackson's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Gary Jackson enrolled in Medicare?
Yes. Gary 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 Gary Jackson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Gary Jackson reassigns Medicare benefits to 4 organizations: Christus Health Ark-La-Tex (Texarkana, TX), Northstar Anesthesia, PA (Arlington, TX), Emergenchealth PLLC (Fort Worth, TX) and Youngs Professional Services LLC (New Iberia, LA). 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 Gary Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Gary Jackson accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Gary 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 Gary Jackson affiliated with any hospitals?
According to CMS data, Gary Jackson is affiliated with Christus Mother Frances Hospital and Christus St Michael Health System.
When was this NPI record last updated?
The NPPES record for Gary Jackson was last updated on July 26, 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.
# Gary L Jackson, CRNA · NPI 1700884947
Nurse Anesthetist, Certified Registered physician in Texarkana, Texas. Individual provider, active in the CMS NPPES registry since July 12, 2005.
## Identity
- **NPI:** 1700884947 (Entity type: Individual)
- **Enumerated:** July 12, 2005
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 231425 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 4100 SUMMERHILL RD, Texarkana, TX 75503-2732
- **Phone:** (903) 735-9802 · **Fax:** (903) 735-9806
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Christus Health Ark-La-Tex (NPI 1710301254, Texarkana, TX); Northstar Anesthesia, PA (NPI 1912978610, Arlington, TX); Emergenchealth PLLC (NPI 1467970897, Fort Worth, TX); Youngs Professional Services LLC (NPI 1922178599, New Iberia, LA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1978
## Record status
- **NPPES last updated:** July 26, 2014
- **Other identifiers:** Medicare ID-Type Unspecified 430011922; Other 84320 (AR); Other 83137C (TX); and 3 more
---
Source: [NPI Profile](https://npiprofile.com/npi/1700884947) · Data from the CMS NPPES public registry.