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

Individual provider Certified Registered Nurse Anesthetist · NPI 1194136010

Luke Jarvis Jackson, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Great Falls, Montana. Qualified in 2014, 12 years ago. Practices with Northstar Anesthesia of Idaho PLLC, a 39-clinician group and accepts Medicare assignment. Licensed in Montana.

Years since qualifying
12
Licensed in
MT
In the registry since
2014
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

1400 29th St S
Great Falls, MT 59405-5353
Phone: (409) 454-2171
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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 NUR-RN-LIC-74240 (MT)

Record details

NPI number1194136010
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedMay 13, 2014
Last updated in NPPESMay 13, 2014

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Northstar Anesthesia Of Idaho Pllc — 39 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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