HOLLY JACKSON CRNA
NPI 1720575392
Nurse Anesthetist, Certified Registered in Southaven, MS

Active since April 18, 2018Accepts Medicare Assignment
7601 SOUTHCREST PKWY, SOUTHAVEN, MS 38671(662) 772-4333(855) 999-1345 Get Directions Write a Review

NPPES record last updated: April 18, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Holly Jackson Crna NPPES

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

HOLLY JACKSON CRNA (NPI 1720575392) is an individual nurse anesthetist, certified registered in Southaven, Mississippi, licensed in Mississippi (901371) and active in the NPI registry since April 2018. She is affiliated with Baptist Memorial Hospital Desoto and is a graduate of Other (2005).

NPPES Registry Identity

NPI1720575392
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameHOLLY JACKSONCredential: CRNA
Location Address7601 SOUTHCREST PKWYSouthaven, MS 38671-4739
Mailing Address7956 Vaughn Rd # 165Montgomery, AL 36116-6625 · (888) 233-1493 · Fax (855) 999-1345
Fax(855) 999-1345
Sole ProprietorYes
Medical School CMSOtherGraduated 2005
Enumeration DateApril 18, 2018
NPI 1720575392 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 MS · 901371
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.

7601 SOUTHCREST PKWY, Southaven, MS 38671

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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

Holly 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 ID749539443
PECOS Enrollment IDI20180814000453

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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 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.
48 services47 patients
Anesthesia for lens surgery 00142
Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.
22 services18 patients
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.
17 services17 patients

Hospital Affiliations CMS Care Compare

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

Baptist Memorial Hospital Desoto

Acute Care Hospitals · Southaven, MS
1/5 CMS rating
OwnershipProprietary
CMS Certification Number250141
Location7601 Southcrest ParkwaySouthaven, MS 38671 · De Soto County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38671 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
$120.41 typical visit price
range $51.65 – $159.18
Typical copayment $30.10 (range $12.91 – $39.79)
Most-billed visit code 99204
Established Patient
$64.96 typical visit price
range $16.15 – $129.61
Typical copayment $16.24 (range $4.03 – $32.40)
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.

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.

Emergency Medicine
7601 SOUTHCREST PKWY
SOUTHAVEN, MS 38671
Anesthesiology
7601 SOUTHCREST PKWY
SOUTHAVEN, MS 38671
Anesthesiology
7601 SOUTHCREST PKWY
SOUTHAVEN, MS 38671
Specialist
7601 SOUTHCREST PKWY
SOUTHAVEN, MS 38671
Nurse Practitioner (Acute Care)
7601 SOUTHCREST PKWY
SOUTHAVEN, MS 38671
Emergency Medicine
7601 SOUTHCREST PKWY
SOUTHAVEN, MS 38671
Emergency Medicine
7601 SOUTHCREST PKWY
SOUTHAVEN, MS 38671
Nurse Anesthetist, Certified Registered
7601 SOUTHCREST PKWY
SOUTHAVEN, MS 38671

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720575392, enumerated as an "individual" on April 18, 2018.

The provider is located at 7601 SOUTHCREST PKWY SOUTHAVEN, MS 38671 and the phone number is (662) 772-4333.

Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Alabama and Molina. Please consult your insurance carrier or call the provider to verify.

Holly Jackson is affiliated with: BAPTIST MEMORIAL HOSPITAL DESOTO.