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

Joel Jackson

Individual provider Certified Registered Nurse Anesthetist · NPI 1366281826

Joel Jackson is a Certified Registered Nurse Anesthetist (CRNA) in Sacramento, California. Qualified in 2024, 2 years ago. Practices with Phs Anesthesia Billing, LLC, a 239-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
2
Licensed in
OH
In the registry since
2024
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Practice location Address checks out

4301 X St
Sacramento, CA 95817
Phone: (419) 953-4775
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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 APRN.CRNA.0021045 (OH)

Record details

NPI number1366281826
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 23, 2024
Last updated in NPPESMay 23, 2024
Certification dateMay 23, 2024

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 Phs Anesthesia Billing, Llc — 239 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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