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

Individual provider Certified Registered Nurse Anesthetist · NPI 1952847162

Jackson Wild, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Boston, Massachusetts. Graduated from Virginia Commonwealth University, School of Medicine in 2017, 9 years ago. Practices with Integrated Gastroenterology Consultants, PC, a 33-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
9
Trained at
Virginia Commonwealth University, School of Medicine
Licensed in
MA
In the registry since
2017
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

75 Francis St
Boston, MA 02115-6110
Phone: (617) 732-5500
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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 112750 (MA)

Record details

NPI number1952847162
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedJanuary 11, 2017
Last updated in NPPESJanuary 11, 2017

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolVIRGINIA COMMONWEALTH UNIVERSITY, SCHOOL OF MEDICINE
Graduated 2017 (9 years in practice)
Group practice Integrated Gastroenterology Consultants, P.C. — 33 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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