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

Mr. Jeremy Scott Jackson

Individual provider Certified Registered Nurse Anesthetist · NPI 1912313461

Mr. Jeremy Scott Jackson is a Certified Registered Nurse Anesthetist (CRNA) in Boston, Massachusetts. Qualified in 2014, 12 years ago. Practices with Commonwealth Anesthesia Associates, Inc, a 86-clinician group. Licensed in Massachusetts.

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

Practice location Address checks out

55 Fruit St Dept OF Anesthesia
Boston, MA 02114-2621
Phone: (617) 726-2000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence RN2292777 (MA)

Record details

NPI number1912313461
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 5, 2014
Last updated in NPPESJuly 30, 2018

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 Commonwealth Anesthesia Associates, Inc — 86 clinicians
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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