Miranda S Jackson, CRNA in Marshfield, WI - Medicare Certified Registered Nurse Anesthetist (crna)

Miranda S Jackson, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Marshfield, Wisconsin. She graduated from nursing school in 2022 and has 4 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Rocky Mountain State Anesthesia Providers, Central Brevard Anesthesiologists Pa and her current practice location is 1000 N Oak Ave, Marshfield, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (715) 387-5511.

Miranda S Jackson is licensed to practice in Colorado (license number 138117) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1447888243.

Contact Information

	Miranda S Jackson, CRNA
	1000 N Oak Ave, Marshfield, WI 54449-5703
	(715) 387-5511
	Not Available

Map and Direction

Provider's Profile

Full Name	Miranda S Jackson
Gender	Female
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	4 Years
Location	1000 N Oak Ave, Marshfield, Wisconsin
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Miranda S Jackson graduated from nursing school in 2022

NPI Data:

NPI Number: 1447888243
Provider Enumeration Date: 03/29/2020
Last Update Date: 09/17/2025

Medicare PECOS Information:

PECOS PAC ID: 4183002181
Enrollment ID: I20220603000364

Medical Identifiers

Medical identifiers for Miranda S Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1447888243	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	RN9509988 (Florida)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	138117 (Colorado)	Primary
367500000X	Nurse Anesthetist, Certified Registered	16896 (Wisconsin)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	APRN11032969 (Florida)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Melbourne Regional Medical Center	Melbourne, FL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Rocky Mountain State Anesthesia Providers	8729349444	50
Central Brevard Anesthesiologists Pa	3577477314	25

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. Miranda S Jackson allows following entities to bill medicare on her behalf.

Entity Name	Us Anesthesia Partners Of Colorado Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922365782 PECOS PAC ID: 6002072055 Enrollment ID: O20120725000032

Entity Name	Rocky Mountain State Anesthesia Providers
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1730692054 PECOS PAC ID: 8729349444 Enrollment ID: O20180220003107

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. Miranda S 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 Address	Practice Location Address
Miranda S Jackson, CRNA 11583 E 118th Pl, Commerce City, CO 80640-7419 Ph: (303) 522-2941	Miranda S Jackson, CRNA 1000 N Oak Ave, Marshfield, WI 54449-5703 Ph: (715) 387-5511

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Marshfield, WI

James Skibba, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1000 N Oak Ave, Marshfield, WI 54449 Phone: 715-387-7179
Alan R Janssen, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1000 N Oak Ave, Marshfield, WI 54449 Phone: 715-387-5511
Justin L. Willuweit, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 N Oak Ave, Marshfield, WI 54449 Phone: 715-387-5511
Kimberly L Anderson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 N Oak Ave, Marshfield, WI 54449 Phone: 715-387-5511
Jodi Mechelke, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 N Oak Ave, Marshfield, WI 54449 Phone: 715-387-7275
Robin J. Kalk, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 N Oak Ave, Marshfield, WI 54449 Phone: 715-387-5511
James Brand, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 N Oak Ave, Marshfield, WI 54449 Phone: 715-387-5511

Miranda S Jackson, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Marshfield, WI