Kevin Jackson
NPI 1306683990 · Certified Registered Nurse Anesthetist · Jackson, MI
Enrolled with Medicare as Practitioner - Certified Registered Nurse Anesthetist (crna) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kevin Jackson is a Certified Registered Nurse Anesthetist provider in Jackson, MI (NPI 1306683990).
Provider details
- NPI number
- 1306683990
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 4704357712 (MI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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.
Practice location
Mailing address
Additional practice locations (1)
- 4001 W Mcnichols RdDetroit, MI 48221-3038Phone: (313) 993-3373
Registry dates
- Enumerated
- 2024-07-10
- Last updated
- 2025-09-29
- Certified
- 2025-09-29
Frequently asked questions
- What is Kevin Jackson's NPI number?
- Kevin Jackson's National Provider Identifier (NPI) is 1306683990, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kevin Jackson's specialty?
- Kevin Jackson is listed in the NPPES registry with a primary specialty of Certified Registered Nurse Anesthetist (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Kevin Jackson located?
- Kevin Jackson's practice location on file with NPPES is 205 N East Ave, Jackson, MI 49201-1753.
- What is Kevin Jackson's phone number?
- The practice phone number listed in the NPPES registry for Kevin Jackson is (517) 205-4800.
- Does Kevin Jackson accept Medicare?
- Kevin Jackson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kevin Jackson's NPI active?
- Yes — Kevin Jackson's NPI (1306683990) is active in the NPPES registry as of the last update on 2025-09-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.