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

Lori Elizabeth Jackson, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1538778386

Lori Elizabeth Jackson, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Fort Wayne, Indiana. Qualified in 2020, 6 years ago. Practices with Associated Anesthesiologists of Fort Wayne PC, a 102-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
6
Licensed in
IN
In the registry since
2020
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

10315 Dawsons Creek Blvd Ste AB
Fort Wayne, IN 46825-1912
Phone: (260) 436-7875
Fax: (260) 432-9812
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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 28169386A (IN)

Record details

NPI number1538778386
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorNo
NPI enumeratedJuly 28, 2020
Last updated in NPPESJuly 12, 2023
Certification dateJuly 12, 2023

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Associated Anesthesiologists Of Fort Wayne Pc — 102 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Fort Wayne