Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Waylon Colby Jackson, CRNA, CPNP-AC, CCRN

Individual provider Critical Care Medicine Registered Nurse · NPI 1548443146

Waylon Colby Jackson, CRNA, CPNP-AC, CCRN is a Certified Registered Nurse Anesthetist (CRNA) in Springfield, Illinois. Graduated from Southern Illinois University School of Medicine in 2013, 13 years ago. Practices with Memorial Medical Center, a 130-clinician group and accepts Medicare assignment. Licensed in Illinois and Missouri.

Years since qualifying
13
Trained at
Southern Illinois University School of Medicine
Licensed in
IL, MO
In the registry since
2007
Specialties on file
3
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

701 N 1st St
Springfield, IL 62781-0001
Phone: (217) 788-3755
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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 209011241 (IL)
Critical Care Medicine Registered Nurse Taxonomy 163WC0200X · Licence 2002014595 (MO)
Critical Care Pediatric Nurse Practitioner Taxonomy 363LP0222X · Licence 20071425 (MO)

Record details

NPI number1548443146
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA , CPNP-AC , CCRN
Sole proprietorYes
NPI enumeratedDecember 6, 2007
Last updated in NPPESOctober 31, 2016

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolSOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2013 (13 years in practice)
Group practice Memorial Medical Center — 130 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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