Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JACKSON WILD CRNA
NPI 1952847162
Nurse Anesthetist, Certified Registered in Boston, MA

Active since January 11, 2017PECOS EnrolledAccepts Medicare Assignment
75 FRANCIS ST, BOSTON, MA 02115(617) 732-5500 Get Directions Write a Review

NPPES record last updated: October 14, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 14, 2026, Jan 11, 2017 (2 updates tracked since 2017).

About Jackson Wild Crna NPPES

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

JACKSON WILD CRNA (NPI 1952847162) is an individual nurse anesthetist, certified registered in Boston, Massachusetts, licensed in Massachusetts (112750) and active in the NPI registry since January 2017. He is enrolled in Medicare PECOS, maintains a secondary practice location in Foxborough, and is a graduate of Virginia Commonwealth University, School Of Medicine (2017).

NPPES Registry Identity

NPI1952847162
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameJACKSON WILDCredential: CRNA
Location Address75 FRANCIS STBoston, MA 02115-6110
Mailing Address75 Francis StBoston, MA 02115-6110
Sole ProprietorNo
Medical School CMSVirginia Commonwealth University, School Of MedicineGraduated 2017
Enumeration DateJanuary 11, 2017
Last NPPES UpdateOctober 14, 20262 updates tracked since enumeration
NPPES CertifiedOctober 14, 2026
✔ NPI 1952847162 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 · 112750
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.
75 FRANCIS ST, Boston, MA 02115

Secondary Practice Location 1

Location 120 Patriot PlFoxborough, MA 02035-1375 · Phone (508) 718-4000

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

Jackson Wild 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 ID3577840248
PECOS Enrollment IDI20170505001264
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

8

Medicare enrollment records show Jackson Wild reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
75 FRANCIS ST
Boston, MA 02115
  • Reassigned Medicare billing, Massachusetts enrollment
  • 4,574 clinicians in this Medicare group
Diagnostic Radiology
199 REEDSDALE RD
Milton, MA 02186
  • Reassigned Medicare billing, Massachusetts enrollment
  • 556 clinicians in this Medicare group
Anesthesiology
41 HIGHLAND AVE
Winchester, MA 01890
  • Reassigned Medicare billing, Massachusetts enrollment
  • 88 clinicians in this Medicare group
Pain Medicine
41 HIGHLAND AVE
Winchester, MA 01890
  • Reassigned Medicare billing, Massachusetts enrollment
  • 105 clinicians in this Medicare group
Anesthesiology
91 MONTVALE AVE STE 103
Stoneham, MA 02180
  • Reassigned Medicare billing, Massachusetts enrollment
  • 65 clinicians in this Medicare group
Anesthesiology
45A DISCOVERY WAY
Acton, MA 01720
  • Reassigned Medicare billing, Massachusetts enrollment
  • 125 clinicians in this Medicare group
Gastroenterology
41 WELLMAN ST STE 400
Lowell, MA 01851
  • Reassigned Medicare billing, Massachusetts enrollment
  • Medicare enrollment name: Integrated Gastroenterology Consultants, P.C.
  • 70 clinicians in this Medicare group
Internal Medicine
30 TUSCAN BOULEVARD
Salem, NH 03079
  • Reassigned Medicare billing, New Hampshire enrollment
  • 83 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 5

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 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.
71 services71 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.
34 services30 patients
Anesthesia for exam of colon using an endoscope 00812
Anesthesia for a colon examination with an endoscope is a method used to ensure comfort during the procedure. It involves administering medication to help you relax or sleep, thus reducing discomfort as the endoscope, a thin, flexible tube, is navigated through your colon.
27 services27 patients
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.
23 services23 patients
Anesthesia for procedure on nerves, muscles, tendons, and tissue of forearm, wrist, and hand 01810
Anesthesia for procedures on the forearm, wrist, and hand involves administering medication to block sensation in these areas. This helps ensure comfort and painlessness during surgeries or treatments involving nerves, muscles, tendons, and tissue in these regions.
16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02115 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.

Internal Medicine (Gastroenterology)
75 FRANCIS ST
BOSTON, MA 02115
Neurological Surgery
75 FRANCIS ST
BOSTON, MA 02115
Student in an Organized Health Care Education/Training Program
75 FRANCIS ST
BOSTON, MA 02115
Radiology (Diagnostic Radiology)
75 FRANCIS ST, DEPARTMENT OF RADIOLOGY
BOSTON, MA 02115
Surgery (Vascular Surgery)
75 FRANCIS ST, BRIGHAM AND WOMEN'S HOSPITAL
BOSTON, MA 02115
Emergency Medicine
75 FRANCIS ST, BWH DEPT. OF EMERGENCY MEDICINE
BOSTON, MA 02115
Physician Assistant
75 FRANCIS ST
BOSTON, MA 02115
Nurse Practitioner (Family)
75 FRANCIS ST
BOSTON, MA 02115

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 Jackson Wild's NPI number?

The NPI number for Jackson Wild is 1952847162. It was assigned to this individual provider in the NPPES registry on January 11, 2017.

Where is Jackson Wild located?

Jackson Wild practices at 75 Francis St, Boston, MA 02115. The listed phone number is (617) 732-5500.

What is Jackson Wild's specialty?

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

Is Jackson Wild enrolled in Medicare?

Yes. Jackson Wild 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 Jackson Wild's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jackson Wild reassigns Medicare benefits to 8 organizations: Brigham & Womens Physicians Organization Inc (Boston, MA), Associated Physicians Of Harvard Medical Faculty Physicians At Beth Is (Milton, MA), Winchester Anesthesia Associates 2 Inc (Winchester, MA), Winchester Anesthesia Associates, Inc (Winchester, MA), Dha Endoscopy LLC (Stoneham, MA) and 3 more organizations, 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 Jackson Wild's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jackson Wild accept?

Health plans from Ambetter from NH Healthy Families and WellSense Health Plan list Jackson Wild 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.

When was this NPI record last updated?

The NPPES record for Jackson Wild was last updated on October 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 days 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.