Lyle Jeremy Jackson, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Idaho Falls, ID

  1. Home
  2. Registered Nurse
  3. ID
  4. Idaho Falls
Lyle Jeremy Jackson, CRNA is a medicare enrolled "Registered Nurse - Orthopedic" in Idaho Falls, Idaho. He graduated from nursing school in 2000 and has 24 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Smg Anesthesia Specialists Llc, Mountain View Hospital Llc, Iceland Anesthesia Management Llc and his current practice location is 2325 Coronado St, Idaho Falls, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 557-2700.

Lyle Jeremy Jackson is licensed to practice in Idaho (license number 62439) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1225597305.

Contact Information

Lyle Jeremy Jackson, CRNA
2325 Coronado St,
Idaho Falls, ID 83404-7407
(208) 557-2700
Not Available

Map and Direction




Provider's Profile

Full NameLyle Jeremy Jackson
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience24 Years
Location2325 Coronado St, Idaho Falls, Idaho
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Lyle Jeremy Jackson graduated from nursing school in 2000
  NPI Data:
  • NPI Number: 1225597305
  • Provider Enumeration Date: 03/18/2019
  • Last Update Date: 09/14/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 9931434586
  • Enrollment ID: I20190718001346

Medical Identifiers

Medical identifiers for Lyle Jeremy Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225597305NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WX0800XRegistered Nurse - Orthopedic 62439 (Idaho)Primary
367500000XNurse Anesthetist, Certified Registered 125895 (Virginia)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mountain View HospitalIdaho falls, IDHospital
Idaho Falls Community Hospital, LlcIdaho falls, IDHospital
Union Hospital IncTerre haute, INHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Smg Anesthesia Specialists Llc6305081118183
Mountain View Hospital Llc4486562774176
Iceland Anesthesia Management Llc761837299653

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Lyle Jeremy Jackson allows following entities to bill medicare on his behalf.
Entity NameSmg Anesthesia Specialists Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518205004
PECOS PAC ID: 6305081118
Enrollment ID: O20130327000494
Entity NameDogwood Anesthesia Providers Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982329900
PECOS PAC ID: 2769853084
Enrollment ID: O20230125000989

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lyle Jeremy Jackson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Lyle Jeremy Jackson, CRNA
1090 Barney Dairy Rd,
Rexburg, ID 83440-3542

Ph: (801) 319-9345		Lyle Jeremy Jackson, CRNA
2325 Coronado St,
Idaho Falls, ID 83404-7407

Ph: (208) 557-2700

Reviews and Comments


Registered Nurse Nurses in Idaho Falls, ID

Melissa Gallant, RN
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 150 Shoup Ave, Suite 17, Idaho Falls, ID 83402
Phone: 208-528-5700    Fax: 208-528-5747
Alexis R Siddoway, NP
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 3100 Channing Way, Idaho Falls, ID 83404
Phone: 208-535-4432    
Christine Barber,
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 3100 Channing Way, Idaho Falls, ID 83404
Phone: 208-604-6605    
Jaxon Dean Anderson, CRNA
Registered Nurse
Medicare: Accepting Medicare Assignments
Practice Location: 2325 Coronado St, Idaho Falls, ID 83404
Phone: 208-557-2700    
Todd Jensen,
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 150 Shoup Ave, Idaho Falls, ID 83402
Phone: 208-528-5700    
Mrs. Jennifer Sue Karns, FNP
Registered Nurse
Medicare: Medicare Enrolled
Practice Location: 2275 Channing Way, Idaho Falls, ID 83404
Phone: 208-900-3434    
Robert Greenig, PMHNP-BC
Registered Nurse
Medicare: Medicare Enrolled
Practice Location: 1500 Pancheri Dr Ste 4, Idaho Falls, ID 83402
Phone: 208-579-6087    Fax: 888-519-8898

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.