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Active NPI 1548376437 Individual Practitioner Male Practitioner

John Robert Jackson , CRNA

Nurse Anesthetist, Certified Registered • Woonsocket, RI

Professional Overview & Biography Verified Profile Summary

John Jackson, CRNA is a registered healthcare professional specializing in Nurse Anesthetist, Certified Registered in Woonsocket, RI. Practice services are available at 115 CASS AVE under active NPI credentials.

Frequently performed procedures and clinical services include anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope, anesthesia for procedure on small and large bowel using an endoscope, anesthesia for procedure on large bowel using an endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

115 Cass Ave
Northern Rhode Island Anesthesia Associates, Pc

Woonsocket, RI 028954705

Telephone 4017694100
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Anesthetist, Certified Registered in Woonsocket, RI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 23.5 Yrs
State Avg: 23.1 Yrs
Regional Practice Density
3 Specialists

Practicing in Woonsocket, RI (207 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
88.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
00731 Anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope
15 15 $761.35 $84.64
00813 Anesthesia for procedure on small and large bowel using an endoscope
14 14 $943.81 $106.48

Medical Specialties & State Licenses

CMS Verified: 2025-07-18
Nurse Anesthetist, Certified Registered Primary Specialty

NUCC Taxonomy Code: 367500000X

State License RI APRN00396

(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.

Nurse Anesthetist, Certified Registered

NUCC Taxonomy Code: 367500000X

State License MA 206366

(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.

Secondary Practice Locations

33 Staniford St Fl 2

Providence, RI 029053105

Phone: 4014218800

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Hossameldeen Mustafa , MD

Student in an Organized Health Care Education/Training Program

NPI 1003553173

Doctor of Medicine (M.D.)

Dr. Charles Kim , MD

Anesthesiology

NPI 1003993072

Doctor of Medicine (M.D.)

Dr. Lana Tannous , MD

Student in an Organized Health Care Education/Training Program

NPI 1013702430

Doctor of Medicine (M.D.)

Dr. Omar Alkasabrah , MD

Student in an Organized Health Care Education/Training Program

NPI 1033957220

Doctor of Medicine (M.D.)

Dr. Daren Girard , MD

Emergency Medicine

NPI 1053390138

Doctor of Medicine (M.D.)

Emily Hochreiner

Student in an Organized Health Care Education/Training Program

NPI 1063357804

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events
👤
Provider Name / Credentials Updated August 01, 2023

Recorded as JOHN JACKSON, CRNA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 01, 2023

Nurse Anesthetist, Certified Registered (License #206366 in MA)

NPI Profile Active March 01, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location March 01, 2017

Registered at 115 CASS AVE, NORTHERN RHODE ISLAND ANESTHESIA ASSOCIATES, PC, WOONSOCKET, RI 028954705 (Tel: 4017694100)

📍
Updated Business Mailing Address March 01, 2017

Registered at 9 MACINTOSH DR, CRANSTON, RI 029212107

👤
Provider Name / Credentials Updated March 01, 2017

Recorded as J JACKSON, CRNA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 01, 2017

Nurse Anesthetist, Certified Registered (License #APRN00396 in RI)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 115 CASS AVE, NORTHERN RHODE ISLAND ANESTHESIA ASSOCIATES, PC, WOONSOCKET, RI 028954705 (Tel: 4017694100)

📍
Updated Business Mailing Address July 08, 2007

Registered at 9 MACINTOSH DR, CRANSTON, RI 029212107

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as J JACKSON, CRNA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Nurse Anesthetist, Certified Registered (License #RNA24421 in RI)

🟢
Initial NPI Registration & Enumeration August 22, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1548376437
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 22, 2006
Last Update: July 18, 2025
Sole Proprietor: No

Mailing Address

9 Macintosh Dr

Cranston, RI 029212107

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.