Vanessa Jackson, CRNA
NPI 1104200930 · Certified Registered Nurse Anesthetist · Kansas City, MO
Enrolled with Medicare as Practitioner - Certified Registered Nurse Anesthetist (crna) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Vanessa Jackson, CRNA is a Certified Registered Nurse Anesthetist provider in Kansas City, MO (NPI 1104200930).
Provider details
- NPI number
- 1104200930
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CRNA
- Sex
- Female
- Sole proprietor
- Yes
- License
- 557350 (KS)
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 tenure28% of score
10 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
529 Medicare services, 2024 (ranked within specialty)
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 methodology.
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 Lens Surgery00142 | 302 | $106 |
| Anesthesia for Procedure for Total Knee Joint Replacement01402 | 38 | $124 |
| Anesthesia for Exam of Colon Using an Endoscope00812 | 34 | $45 |
| Anesthesia for Other Procedure on Esophagus, Stomach, Or Upper Small Bowel Using an Endoscope00731 | 30 | $59 |
| Anesthesia for Procedure on Nerves, Muscles, Tendons, and Tissue of Forearm, Wrist, and Hand01810 | 29 | $53 |
| Anesthesia for Procedure on Small and Large Bowel Using an Endoscope00813 | 28 | $72 |
Practice location
Mailing address
Additional practice locations (1)
- 5325 Faraon StSaint Joseph, MO 64506-3488Phone: (816) 271-6350Fax: (816) 271-6753
Registry dates
- Enumerated
- 2015-07-10
- Last updated
- 2024-10-09
- Certified
- 2024-10-09
Frequently asked questions
- What is Vanessa Jackson's NPI number?
- Vanessa Jackson's National Provider Identifier (NPI) is 1104200930, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Vanessa Jackson's specialty?
- Vanessa Jackson is listed in the NPPES registry with a primary specialty of Certified Registered Nurse Anesthetist (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Vanessa Jackson located?
- Vanessa Jackson's practice location on file with NPPES is 721 Ne 82nd Ter, Kansas City, MO 64118-1332.
- What is Vanessa Jackson's phone number?
- The practice phone number listed in the NPPES registry for Vanessa Jackson is (816) 646-1242.
- Does Vanessa Jackson accept Medicare?
- Vanessa Jackson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Vanessa Jackson's NPI active?
- Yes — Vanessa Jackson's NPI (1104200930) is active in the NPPES registry as of the last update on 2024-10-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.