DR. JACK HAROLD FIELDS III CRNA, DNP
NPI 1891342028
Nurse Anesthetist, Certified Registered in Jackson, TN

Active since August 22, 2019Accepts Medicare Assignment
620 SKYLINE DR, JACKSON, TN 38301(731) 541-5000 Get Directions Write a Review

NPPES record last updated: August 26, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 26, 2019, Aug 22, 2019 (2 updates tracked since 2019).

About Dr. Jack Harold Fields Iii Crna, Dnp NPPES

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

DR. JACK HAROLD FIELDS III CRNA, DNP (NPI 1891342028) is an individual nurse anesthetist, certified registered in Jackson, Tennessee, licensed in Tennessee (124343) and active in the NPI registry since August 2019. He is affiliated with Jackson-madison County General Hospital and is a graduate of Other (2019).

NPPES Registry Identity

NPI1891342028
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameDR. JACK HAROLD FIELDS IIICredential: CRNA, DNP
Location Address620 SKYLINE DRJackson, TN 38301-3923
Mailing Address115 Laurie CirJackson, TN 38305-3046 · (731) 414-1413
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateAugust 22, 2019
Last NPPES UpdateAugust 26, 20192 updates tracked since enumeration
✔ NPI 1891342028 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 TN · 124343
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.
620 SKYLINE DR, Jackson, TN 38301

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

Dr. Jack Harold Fields Iii Crna, Dnp 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 ID1254764681
PECOS Enrollment IDI20191125003033

Medicare Billing Reassignment

Medicare enrollment records show Jack Fields reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Anesthesiology
620 SKYLINE DR
Jackson, TN 38301
  • Reassigned Medicare billing, Tennessee enrollment
  • 190 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

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 x-ray or radiation therapy 01922
Anesthesia for x-ray or radiation therapy involves administering medication to help you relax or sleep during the procedure. It's used to ensure comfort, minimize movement, and reduce anxiety. The type of anesthesia used depends on the procedure and patient's health.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Jackson-Madison County General Hospital

Acute Care Hospitals · Jackson, TN
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number440002
Location620 Skyline DriveJackson, TN 38301 · Madison County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38301 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
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.

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.

Pathology (Anatomic Pathology & Clinical Pathology)
620 SKYLINE DR
JACKSON, TN 38301
Anesthesiology (Critical Care Medicine)
620 SKYLINE DR
JACKSON, TN 38301
Occupational Therapist
620 SKYLINE DR
JACKSON, TN 38301
Physician Assistant
620 SKYLINE DR
JACKSON, TN 38301
Pharmacist
620 SKYLINE DR
JACKSON, TN 38301
Emergency Medicine
620 SKYLINE DR
JACKSON, TN 38301
Nurse Practitioner (Family)
620 SKYLINE DR
JACKSON, TN 38301
Nurse Anesthetist, Certified Registered
620 SKYLINE DR
JACKSON, TN 38301

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 Jack Fields's NPI number?

The NPI number for Jack Fields is 1891342028. It was assigned to this individual provider in the NPPES registry on August 22, 2019.

Where is Jack Fields located?

Jack Fields practices at 620 Skyline Dr, Jackson, TN 38301. The listed phone number is (731) 541-5000.

What is Jack Fields's specialty?

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

Is Jack Fields enrolled in Medicare?

Yes. Jack Fields 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 Jack Fields's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jack Fields reassigns Medicare benefits to Medical Center Anesthesia Inc. (Jackson, TN). 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 Jack Fields's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jack Fields accept?

Health plans from Cigna Healthcare list Jack Fields 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 Jack Fields affiliated with any hospitals?

According to CMS data, Jack Fields is affiliated with Jackson-Madison County General Hospital.

When was this NPI record last updated?

The NPPES record for Jack Fields was last updated on August 26, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.