HOLLY JACKSON CRNA
NPI 1720575392
Nurse Anesthetist, Certified Registered in Southaven, MS

NPI Status: Active since April 18, 2018

Contact Information

7601 SOUTHCREST PKWY
SOUTHAVEN, MS
ZIP 38671
Phone: (662) 772-4333
Fax: (855) 999-1345

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  • Individual
  • Female
  • Years of Experience 21
  • Nurse Anesthetist, Certified Registered
  • Accepts Insurance
  • Accepts Medicare Approved Payment

About HOLLY JACKSON

This page provides the complete NPI Profile along with additional information for Holly Jackson, a provider established in Southaven, Mississippi with a medical specialization in Nurse Anesthetist, Certified Registered and more than 21 years of experience. The healthcare provider is registered in the NPI registry with number 1720575392 assigned on April 2018. The practitioner's primary taxonomy code is 367500000X with license number 901371 (MS). The provider is registered as an individual and her NPI record was last updated 7 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization.

NPI
1720575392
Provider Name
HOLLY JACKSON CRNA
Gender
Female
Entity Type
Individual
Location Address
7601 SOUTHCREST PKWY SOUTHAVEN, MS 38671
Location Phone
(662) 772-4333
Location Fax
(855) 999-1345
Mailing Address
7956 VAUGHN RD # 165 MONTGOMERY, AL 36116
Mailing Phone
(888) 233-1493
Mailing Fax
(855) 999-1345
Medical School Name
OTHER
Graduation Year
2005
Is Sole Proprietor?
Yes
Enumeration Date
04-18-2018
Last Update Date
04-18-2018
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Anesthetist, Certified Registered

Taxonomy Code
367500000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
901371
License State
MS
Taxonomy Description
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue HSA Bronze - PPO
  • Blue Protect - PPO
  • Blue Saver Bronze - PPO
  • Blue Value Gold - PPO
  • Blue Value Silver - PPO
  • Blue Access Gold for Business - PPO
  • Blue Choice Platinum for Business - PPO
  • Blue HSA Silver for Business - PPO
  • Blue Saver Bronze for Business - PPO
  • Blue Saver Gold for Business - PPO
  • Blue Secure Gold for Business - PPO
  • Blue Secure Silver for Business - PPO
  • Bronze 4 - HMO
  • Bronze 8 - HMO
  • Gold 1 - HMO
  • Gold 1 with Adult Vision Services - HMO
  • Gold 8 - HMO
  • Silver 1 - HMO
  • Silver 1 with Adult Vision Services - HMO
  • Silver 12 with First 4 Primary Care Visits Free - HMO
  • Silver 8 - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Holly Jackson is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • PECOS PAC ID: 749539443

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20180814000453

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Anesthesia for lens surgery

Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.

This service was performed 22 times for 18 patients

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope

This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.

This service was performed 48 times for 47 patients

Anesthesia for other procedure on large bowel using an endoscope

Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.

This service was performed 17 times for 17 patients

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $30.1 for a new patient copayment and $16.24 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 38671 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $120.41
  • Minimum New Patient Price $51.65
  • Maximum New Patient Price $159.18
  • Average New Patient Copayment $30.1
  • Minimum New Patient Copayment $12.91
  • Maximum New Patient Copayment $39.79

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $64.96
  • Minimum Established Patient Price $16.15
  • Maximum Established Patient Price $129.61
  • Average Established Patient Copayment $16.24
  • Minimum Established Patient Copayment $4.03
  • Maximum Established Patient Copayment $32.4

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Holly Jackson is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
BAPTIST MEMORIAL HOSPITAL DESOTO7601 SOUTHCREST PARKWAY
SOUTHAVEN, MS 38671
(662) 772-4000Acute Care Hospitals

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1720575392
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
274010710318
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 4 + 0 + 1 + 0 + 7 + 1 + 0 + 3 + 1 + 8 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1720575392 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1992793251DR. KENNETH ALLAN THOMPSON M.D.
Individual
Emergency Medicine7601 SOUTHCREST PKWY
SOUTHAVEN, MS 38671
(662) 772-3260
1427034610 SANDRA JOANN REED MD
Individual
Anesthesiology7601 SOUTHCREST PKWY
SOUTHAVEN, MS 38671
(334) 386-2053
1831176973 JOVIE N. BRIDGEWATER M.D.
Individual
Anesthesiology7601 SOUTHCREST PKWY
SOUTHAVEN, MS 38671
(662) 349-4000
1003869520MID-SOUTH ANESTHESIA CONSULTANTS, PLLC
Organization
Specialist7601 SOUTHCREST PKWY
SOUTHAVEN, MS 38671
(334) 386-2053
1811942170 SUSAN M TOLLEY ACNP
Individual
Nurse Practitioner (Acute Care)7601 SOUTHCREST PKWY
SOUTHAVEN, MS 38671
(662) 349-4000
1740221365DR. STANLEY CRAIG THOMPSON MD
Individual
Emergency Medicine7601 SOUTHCREST PKWY
SOUTHAVEN, MS 38671
(662) 349-4000
1740220326DR. ROSA ANITZA GOMEZ MD
Individual
Emergency Medicine7601 SOUTHCREST PKWY
SOUTHAVEN, MS 38671
(662) 349-4000
1558375279 IRA ANDRE RICHARDSON CRNA
Individual
Nurse Anesthetist, Certified Registered7601 SOUTHCREST PKWY
SOUTHAVEN, MS 38671
(662) 349-4000
1902081557WEST CLINIC, PC
Organization
Radiology (Radiation Oncology)7601 SOUTHCREST PKWY
SOUTHAVEN, MS 38671
(901) 683-0055
1740450410MISS KIMBERLY RACHELLE KILPATRICK RD, LD
Individual
Dietitian, Registered7601 SOUTHCREST PKWY
SOUTHAVEN, MS 38671
(662) 772-3199
1427228162MISS ALISSA M VILLARRUBIA MS, RD, LD
Individual
Dietitian, Registered7601 SOUTHCREST PKWY
SOUTHAVEN, MS 38671
(662) 772-3188
1467623835MRS. WILMETTA ROBINSON NEELY R.D., L.D.N.
Individual
Dietitian, Registered7601 SOUTHCREST PKWY
SOUTHAVEN, MS 38671
(662) 772-3184
1700057031MS. ANDREA RENEE KOMM MS, RD, LD
Individual
Dietitian, Registered7601 SOUTHCREST PKWY
SOUTHAVEN, MS 38671
(662) 772-3186
1629373279 ASHLEY R ROBINS R.D., L.D.,
Individual
Dietitian, Registered7601 SOUTHCREST PKWY
SOUTHAVEN, MS 38671
(662) 772-3183
1386941540MRS. EMILY KESLER SCHWARTZ RD, LD
Individual
Dietitian, Registered7601 SOUTHCREST PKWY
SOUTHAVEN, MS 38671
(662) 772-3185
1720385974MS. VALERIE LAYNE RD, LD
Individual
Dietitian, Registered7601 SOUTHCREST PKWY
SOUTHAVEN, MS 38671
(662) 772-2188
1083907976 JONATHAN WESLEY REED CRNA
Individual
Nurse Anesthetist, Certified Registered7601 SOUTHCREST PKWY
SOUTHAVEN, MS 38671
(662) 772-4333
1770830077DHP OF DESOTO PROFESSIONAL ASSOCIATION
Organization
Orthopaedic Surgery7601 SOUTHCREST PKWY
SOUTHAVEN, MS 38671
(662) 772-4000
1598718520 RODNEY D. ROTHSTEIN MD
Individual
Anesthesiology7601 SOUTHCREST PKWY
SOUTHAVEN, MS 38671
(334) 386-2053
1457647414MR. BRENT AUSTIN SMOYER PA-C
Individual
Physician Assistant7601 SOUTHCREST PKWY
SOUTHAVEN, MS 38671
(731) 514-1824

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720575392, enumerated in the NPI registry as an "individual" on April 18, 2018

The provider is located at 7601 Southcrest Pkwy Southaven, Ms 38671 and the phone number is (662) 772-4333

The provider's speciality is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X

The provider has more than 21 years of experience.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Alabama and Molina. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Medicare beneficiaries should expect a typical cost of $120.41 with an average copayment of $30.1 for new patient appointments. Established patients should expect a typical charge of $64.96 and an average copayment of 16.24. Please review your insurance plan or contact the provider directly to determine your specific costs.

The most common procedures or services performed by this practitioner are: Anesthesia for lens surgery, Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope and Anesthesia for other procedure on large bowel using an endoscope.

The practitioner is affiliated to the following hospital(s): BAPTIST MEMORIAL HOSPITAL DESOTO. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on April 18, 2018. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.