Clark Jackson
NPI 1053768945 · Certified Registered Nurse Anesthetist · Lincoln, NE
Enrolled with Medicare as Practitioner - Certified Registered Nurse Anesthetist (crna) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Clark Jackson is a Certified Registered Nurse Anesthetist provider in Lincoln, NE (NPI 1053768945).
Provider details
- NPI number
- 1053768945
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 70693 (NE)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
10 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
271 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Anesthesia for Procedure on Anus and Rectum00902 | 109 | $129 |
| Anesthesia for Other Procedure on Urinary System Through Urethra00910 | 72 | $93 |
| Anesthesia for Fragmenting, Manipulation And/Or Removal of Kidney Stone Including Use of an Endoscope00918 | 38 | $149 |
| Anesthesia for Removal of Urinary Bladder Tumors Including Use of an Endoscope00912 | 27 | $131 |
| Anesthesia for Other Procedure on Male Genitals00920 | 13 | $140 |
| Anesthesia for Shock Wave Therapy for Urinary System Stones Without Water Bath00873 | 12 | $227 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$66 across 4 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2016-05-20
- Last updated
- 2016-05-20
Frequently asked questions
- What is Clark Jackson's NPI number?
- Clark Jackson's National Provider Identifier (NPI) is 1053768945, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Clark Jackson's specialty?
- Clark Jackson is listed in the NPPES registry with a primary specialty of Certified Registered Nurse Anesthetist (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Clark Jackson located?
- Clark Jackson's practice location on file with NPPES is 2500 S 60th St Apt 21, Lincoln, NE 68506-3579.
- What is Clark Jackson's phone number?
- The practice phone number listed in the NPPES registry for Clark Jackson is (402) 613-2633.
- Does Clark Jackson accept Medicare?
- Clark Jackson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Clark Jackson's NPI active?
- Yes — Clark Jackson's NPI (1053768945) is active in the NPPES registry as of the last update on 2016-05-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.