Lyle Jeremy Jackson is a Idaho Falls, Idaho based nurse anesthetist with 25 years of experience as Nurse Anesthetist. He completed he graduation in 2000. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Lyle Jeremy Jackson is 62439 for Nurse Anesthetist in Idaho. his current practice location is 2325 Coronado St, Idaho Falls. Patients can reach him at 208-557-2700. Lyle Jeremy Jackson is CRNA with specialization in Nurse Anesthetist and he NPI number (Unique professional ID assigned by NPPES) is 1225597305. Lyle Jeremy Jackson is a certified 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.
Complete Profile:
Lyle Jeremy Jackson speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Nurse Anesthetist
Credentials:
CRNA
Experience:
25+ years
Medical School Attended:
Other
Graduation Year:
2000
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
2325 Coronado St, Idaho Falls, Idaho, 83404-7407
Phone:
208-557-2700
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
9931434586
Enrollment ID:
I20210422003117
NPI Number:
1225597305
NPI Enumeration Date:
18 Mar, 2019
NPI Last Update On:
14 Sep, 2022
Medical Licenses:
Nurses can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Lyle Jeremy Jackson are as mentioned below.
License Number
Specialization
State
Status
62439
Nurse Anesthetist
Idaho
Primary
125895
Anesthesia Administration
Virginia
Secondary
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
Mountain View Hospital (130065)
Idaho falls, ID
Acute Care Hospital
Idaho Falls Community Hospital, Llc (130074)
Idaho falls, ID
Acute Care Hospital
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Lyle Jeremy Jackson has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Mountain View Hospital Llc (4486562774)
134
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1090 Barney Dairy Rd, Rexburg, Idaho
Zip:
83440-3542
Phone Number:
801-319-9345
Fax Number:
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Patients can reach Lyle Jeremy Jackson at 2325 Coronado St, Idaho Falls, Idaho or can call to book an appointment on 208-557-2700.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 March, 2025.