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MR. JEREMY SCOTT JACKSON
NPI 1912313461
Nurse Anesthetist, Certified Registered in Boston, MA

Active since July 05, 2014PECOS Enrolled
55 FRUIT ST, DEPARTMENT OF ANESTHESIA, BOSTON, MA 02114(617) 726-2000 Get Directions Write a Review

NPPES record last updated: July 30, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mr. Jeremy Scott Jackson NPPES

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

MR. JEREMY SCOTT JACKSON (NPI 1912313461) is an individual nurse anesthetist, certified registered in Boston, Massachusetts, licensed in Massachusetts (RN2292777) and active in the NPI registry since July 2014. He is enrolled in Medicare PECOS, is affiliated with Newton-wellesley Hospital, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1912313461
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameMR. JEREMY SCOTT JACKSON
Location Address55 FRUIT ST, DEPARTMENT OF ANESTHESIABoston, MA 02114-2621
Mailing AddressNwh Anesthesiology, 2014 Washington StreetNewton, MA 02462 · (617) 243-6298
Phone(617) 726-2000
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJuly 5, 2014
Last NPPES UpdateJuly 30, 2018
✔ NPI 1912313461 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 MA · RN2292777
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.
55 FRUIT ST, Boston, MA 02114
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include WellSense Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Jeremy Scott Jackson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3577783695
PECOS Enrollment IDI20141013000555
Eligible to Order & Refer✔ Part B Labs & Imaging– Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

6

Medicare enrollment records show Jeremy Jackson reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anesthesia Consultants Of Massachusetts LLC
0.2 mi
Nurse Anesthetist, Certified Registered
50 STANIFORD ST
Boston, MA 02114
  • Reassigned Medicare billing, Massachusetts enrollment
  • 19 clinicians in this Medicare group
NPI 1881306496 (617) 723-2015
Commonwealth Anesthesia Associates, Inc
9.4 mi
Pain Medicine
2014 WASHINGTON ST, NEWTON WELLESLEY HOSPITAL DEPARTMENT OF ANESTHESIOLOGY
Newton, MA 02462
  • Reassigned Medicare billing, Massachusetts enrollment
  • 116 clinicians in this Medicare group
NPI 1184645194 (617) 243-6298
Jjm Medical Services, PC
10 mi
Anesthesiology
1440 MAIN ST
Waltham, MA 02451
  • Reassigned Medicare billing, Massachusetts enrollment
  • 90 clinicians in this Medicare group
NPI 1952548265 (781) 891-9300
Capa Anesthesia LLC
13 mi
Anesthesiology
99 LIBBEY INDUSTRIAL PARK
Weymouth, MA 02189
  • Reassigned Medicare billing, Massachusetts enrollment
  • 115 clinicians in this Medicare group
NPI 1629723002 (781) 331-0537
Gbaa Holdings, PLLC
20 mi
Anesthesiology
45A DISCOVERY WAY
Acton, MA 01720
  • Reassigned Medicare billing, Massachusetts enrollment
  • 125 clinicians in this Medicare group
NPI 1790299592 (978) 429-2000
Anesthesia Professionals, Inc.
50 mi
Nurse Anesthetist, Certified Registered
78 FAUNCE CORNER RD UNIT 560
Dartmouth, MA 02747
  • Reassigned Medicare billing, Massachusetts enrollment
  • 79 clinicians in this Medicare group
NPI 1659346443 (888) 209-0305

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 7

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 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.
370 services320 patients
Anesthesia for retinal surgery 00145
Anesthesia for retinal surgery involves using medications to numb your eye and surrounding area. This prevents pain and discomfort during the procedure. You may also receive medication to help you relax. The anesthesia can be local (just your eye) or general (you're asleep).
58 services53 patients
Anesthesia for other procedure on eye 00140
Anesthesia for an eye procedure involves administering medication to numb your eye and surrounding area, ensuring you feel no pain during the operation. It can be local (only the eye area) or general (whole body). It's safe and helps make the procedure comfortable.
27 services24 patients
Anesthesia for procedure on eyelid 00103
Anesthesia for an eyelid procedure helps ensure comfort and painlessness during the operation. It's typically a local anesthetic, applied to numb your eyelid and surrounding area. You'll likely be awake but won't feel any discomfort. It's a safe, routine part of many eye procedures.
24 services23 patients
Anesthesia for procedure on eye for corneal transplant 00144
Anesthesia for a corneal transplant numbs your eye to prevent discomfort during the procedure. It can be local (only affecting the eye area) or general (you're asleep). The choice depends on your overall health and the surgeon's recommendation. It's safe and monitored by a specialist.
14 services12 patients
Anesthesia for extensive surgery on spine 00670
Anesthesia for extensive spine surgery involves medication to block pain and make you unconscious during the procedure. It ensures comfort and prevents movement. Two types may be used: general (you sleep) or regional (numbs a large area). The choice depends on the surgery specifics and your health.
14 services14 patients

Hospital Affiliations CMS Care Compare

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

Newton-Wellesley Hospital

Acute Care Hospitals · Newton, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220101
Location2014 Washington StreetNewton, MA 02462 · Middlesex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02114 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
$144.11 typical visit price
range $63.72 – $189.86
Typical copayment $36.02 (range $15.93 – $47.46)
Most-billed visit code 99204
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
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.

STUTI GIRISH SHROFF MD, MBBS
Pathology (Anatomic Pathology)
55 FRUIT ST
BOSTON, MA 02114
Suffolk County (617) 726-2971
NANCY WANG M.D.
Internal Medicine (Hematology & Oncology)
55 FRUIT ST
BOSTON, MA 02114
Suffolk County (017) 724-4000
DR. DUSAN HANIDZIAR M.D., PH.D.
Anesthesiology
55 FRUIT ST, GRAY-BIGELOW 444
BOSTON, MA 02114
Suffolk County (617) 726-3030
JOHN JOSEPH DANKO DO
Physical Medicine & Rehabilitation
55 FRUIT ST
BOSTON, MA 02114
Suffolk County (617) 726-2000
DR. MICHAEL ANDREW LOBRITZ M.D, PH.D.
Internal Medicine (Infectious Disease)
55 FRUIT ST, DIVISION OF INFECTIOUS DISEASE, GRJ-504
BOSTON, MA 02114
Suffolk County (617) 724-9248
MS. KELLY ELISHA TRECARTIN NP
Nurse Practitioner (Acute Care)
55 FRUIT ST, BIGALOW 852 F
BOSTON, MA 02114
Suffolk County (617) 726-7400
JAMIE MARIE ALLEN NP
Nurse Practitioner
55 FRUIT ST
BOSTON, MA 02114
Suffolk County (617) 724-4410
DR. DHAVAL SANJEEV KOLTE M.B.B.S., PH.D.
Internal Medicine (Cardiovascular Disease)
55 FRUIT ST
BOSTON, MA 02114
Suffolk County (617) 643-3238

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 Jeremy Jackson's NPI number?

The NPI number for Jeremy Jackson is 1912313461. It was assigned to this individual provider in the NPPES registry on July 5, 2014.

Where is Jeremy Jackson located?

Jeremy Jackson practices at 55 Fruit St Department Of Anesthesia, Boston, MA 02114. The listed phone number is (617) 726-2000.

What is Jeremy Jackson's specialty?

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

Is Jeremy Jackson enrolled in Medicare?

Yes. Jeremy Jackson is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jeremy Jackson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeremy Jackson reassigns Medicare benefits to 6 organizations: Anesthesia Consultants Of Massachusetts LLC (Boston, MA), Commonwealth Anesthesia Associates, Inc (Newton, MA), Jjm Medical Services, PC (Waltham, MA), Capa Anesthesia LLC (Weymouth, MA), Gbaa Holdings, PLLC (Acton, MA) and 1 more organization, 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 Jeremy Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jeremy Jackson accept?

Health plans from WellSense Health Plan list Jeremy 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 Jeremy Jackson affiliated with any hospitals?

According to CMS data, Jeremy Jackson is affiliated with Newton-Wellesley Hospital.

When was this NPI record last updated?

The NPPES record for Jeremy Jackson was last updated on July 30, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.