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THOMAS ANDREW JACKSON CRNA
NPI 1740649011
Nurse Anesthetist, Certified Registered in Salem, OH

Active since February 16, 2016Accepts Medicare Assignment
82.05/100
CMS Quality Rating
1995 EAST STATE STREET, SALEM REGIONAL MEDICAL CENTER, SALEM, OH 44460(330) 332-1551(330) 332-7899 Get Directions Write a Review

NPPES record last updated: November 11, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 11, 2023, Feb 16, 2016 (2 updates tracked since 2016).

About Thomas Andrew Jackson Crna NPPES

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

THOMAS ANDREW JACKSON CRNA (NPI 1740649011) is an individual nurse anesthetist, certified registered in Salem, Ohio, licensed in Ohio (COA.18640-NA) and active in the NPI registry since February 2016. He is affiliated with Upmc Jameson and is a graduate of Other (2015).

NPPES Registry Identity

NPI1740649011
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameTHOMAS ANDREW JACKSONCredential: CRNA
Location Address1995 EAST STATE STREET, SALEM REGIONAL MEDICAL CENTERSalem, OH 44460
Mailing Address2507 N Mercer StNew Castle, PA 16105-1707 · (724) 944-1972
Phone(330) 332-1551
Fax(330) 332-7899
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateFebruary 16, 2016
Last NPPES UpdateNovember 11, 20232 updates tracked since enumeration
NPPES CertifiedNovember 11, 2023
✔ NPI 1740649011 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in OH · COA.18640-NA
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.
Also ListedRegistered NurseTaxonomy 163W00000X · License RN.396530-1 (OH)
1995 EAST STATE STREET, Salem, OH 44460
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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

Thomas Andrew 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 ID6406152495
PECOS Enrollment IDI20170403002590

Medicare Billing Reassignments

4

Medicare enrollment records show Thomas Jackson reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Pittsburgh Physicians
23 mi
Neurological Surgery
425 W FIFTH ST, EAST LIVERPOOL CITY HOSPITAL
East Liverpool, OH 43920
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 7,114 clinicians in this Medicare group
NPI 1811945793 (330) 386-3195
Northstar Anesthesia Of Ohio LLC
169 mi
Anesthesiology
2615 E HIGH ST
Springfield, OH 45505
  • Reassigned Medicare billing, Ohio enrollment
  • 471 clinicians in this Medicare group
NPI 1417276429 (214) 687-0496
Anesthesia & Intensive Care Consultants,inc.
216 mi
Anesthesiology
3000 HOSPITAL DR
Batavia, OH 45103
  • Reassigned Medicare billing, Ohio enrollment
  • Medicare enrollment name: Southwest Ohio Anesthesia Consultants LLC
  • 830 clinicians in this Medicare group
NPI 1164859013 (859) 341-7246
Northstar Anesthesia Of Pennsylvania, LLC
301 mi
Anesthesiology
1500 LANSDOWNE AVE
Darby, PA 19023
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 400 clinicians in this Medicare group
NPI 1700218989 (610) 237-4000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 2

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

Upmc Jameson

Acute Care Hospitals · New Castle, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390016
Location1211 Wilmington AvenueNew Castle, PA 16105 · Lawrence County
Emergency services

Upmc Horizon

Acute Care Hospitals · Greenville, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390178
Location110 North Main StreetGreenville, PA 16125 · Mercer County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44460 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

82.05/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.89
Improvement Activities40

Other Providers at the Same Location NPPES 2

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

SALEM COMMUNITY HOSPITAL
Skilled Nursing Facility
1995 EAST STATE STREET
SALEM, OH 44460
Columbiana County (330) 332-7171
SALEM COMMUNITY HOSPITAL
General Acute Care Hospital
1995 EAST STATE STREET
SALEM, OH 44460
Columbiana County (330) 332-7670

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 Thomas Jackson's NPI number?

The NPI number for Thomas Jackson is 1740649011. It was assigned to this individual provider in the NPPES registry on February 16, 2016.

Where is Thomas Jackson located?

Thomas Jackson practices at 1995 East State Street Salem Regional Medical Center, Salem, OH 44460. The listed phone number is (330) 332-1551.

What is Thomas Jackson's specialty?

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

Is Thomas Jackson enrolled in Medicare?

Yes. Thomas 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 Thomas Jackson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Jackson reassigns Medicare benefits to 4 organizations: University Of Pittsburgh Physicians (East Liverpool, OH), Northstar Anesthesia Of Ohio LLC (Springfield, OH), Anesthesia & Intensive Care Consultants,inc. (Batavia, OH) and Northstar Anesthesia Of Pennsylvania, LLC (Darby, PA). 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 Thomas Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Thomas Jackson affiliated with any hospitals?

According to CMS data, Thomas Jackson is affiliated with Upmc Jameson and Upmc Horizon.

When was this NPI record last updated?

The NPPES record for Thomas Jackson was last updated on November 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.