Jackson Mckim, CAA
NPI 1902779051 · Anesthesiologist Assistant · Saint Louis, MO
Enrolled with Medicare as Practitioner - Anesthesiology Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jackson Mckim, CAA is a Anesthesiologist Assistant provider in Saint Louis, MO (NPI 1902779051).
Provider details
- NPI number
- 1902779051
- Entity type
- Individual
- Primary specialty
- Anesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CAA
- Sex
- Male
- Sole proprietor
- No
- License
- PENDING (MO)
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 tenure38% of score
Under 1 yr in 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
- 2025-09-25
- Last updated
- 2025-09-25
- Certified
- 2025-09-25
Frequently asked questions
- What is Jackson Mckim's NPI number?
- Jackson Mckim's National Provider Identifier (NPI) is 1902779051, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jackson Mckim's specialty?
- Jackson Mckim is listed in the NPPES registry with a primary specialty of Anesthesiologist Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Jackson Mckim located?
- Jackson Mckim's practice location on file with NPPES is 615 S New Ballas Rd, Saint Louis, MO 63141-8221.
- What is Jackson Mckim's phone number?
- The practice phone number listed in the NPPES registry for Jackson Mckim is (314) 251-6000.
- Does Jackson Mckim accept Medicare?
- Jackson Mckim is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jackson Mckim's NPI active?
- Yes — Jackson Mckim's NPI (1902779051) is active in the NPPES registry as of the last update on 2025-09-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.