Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Clark Jackson

Individual provider Certified Registered Nurse Anesthetist · NPI 1053768945

Clark Jackson is a Certified Registered Nurse Anesthetist (CRNA) in Lincoln, Nebraska. Qualified in 2016, 10 years ago. Practices with Hypnos Anesthesia PC, an 8-clinician group and accepts Medicare assignment. Licensed in Nebraska.

Years since qualifying
10
Licensed in
NE
In the registry since
2016
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Practice location Address checks out

2500 S 60th St Apt 21
Lincoln, NE 68506-3579
Phone: (402) 613-2633
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 70693 (NE)

Record details

NPI number1053768945
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 20, 2016
Last updated in NPPESMay 20, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Hypnos Anesthesia Pc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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