Shawn Jackson, MD
NPI 1609071158 · Anesthesiology Physician · Wichita, KS
Enrolled with Medicare as Practitioner - Anesthesiology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Shawn Jackson, MD is a Anesthesiology Physician provider in Wichita, KS (NPI 1609071158).
Provider details
- NPI number
- 1609071158
- Entity type
- Individual
- Primary specialty
- Anesthesiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 04-33385 (KS)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
Registry dates
- Enumerated
- 2007-06-15
- Last updated
- 2014-12-01
Frequently asked questions
- What is Shawn Jackson's NPI number?
- Shawn Jackson's National Provider Identifier (NPI) is 1609071158, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shawn Jackson's specialty?
- Shawn Jackson is listed in the NPPES registry with a primary specialty of Anesthesiology Physician (Allopathic & Osteopathic Physicians).
- Where is Shawn Jackson located?
- Shawn Jackson's practice location on file with NPPES is 1947 N Founders Cir, Wichita, KS 67206-3548.
- What is Shawn Jackson's phone number?
- The practice phone number listed in the NPPES registry for Shawn Jackson is (316) 613-4930.
- Does Shawn Jackson accept Medicare?
- Shawn Jackson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Shawn Jackson's NPI active?
- Yes — Shawn Jackson's NPI (1609071158) is active in the NPPES registry as of the last update on 2014-12-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.