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

Dr. Starr Shalae Jackson

Individual provider General Practice Registered Nurse · NPI 1578197588

Dr. Starr Shalae Jackson is a Certified Registered Nurse Anesthetist (CRNA) in Staten Island, New York. Qualified in 2024, 2 years ago. Practices with North American Partners in Anesthesia LLP, a 415-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
2
Licensed in
NY
In the registry since
2020
Specialties on file
4
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Practice location Address checks out

2627 Hylan Blvd
Staten Island, NY 10306-4344
Phone: (646) 533-0990
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 355 Bard Ave, Staten Island, NY 10310-1664 — (718) 818-1234

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 663663 (NY)
General Practice Registered Nurse Taxonomy 163WG0000X · Licence 345211 (NY)
Family Medicine Physician Taxonomy 207Q00000X · Licence 345211 (NY)
Interventional Pain Medicine Physician Taxonomy 208VP0014X · Licence 345211 (NY)

Record details

NPI number1578197588
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 28, 2020
Last updated in NPPESFebruary 17, 2025
Certification dateFebruary 17, 2025
Mailing address1305 Walt Whitman Rd Ste 300, Melville, NY 11747-4300

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice North American Partners In Anesthesia Llp — 415 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Staten Island