Shannon Jackson, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Knoxville, TN

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Shannon Jackson, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Knoxville, Tennessee. She graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Mmc Anesthesia Group, Pc and her current practice location is 1901 Clinch Ave, Knoxville, Tennessee. You can reach out to her office (for appointments etc.) via phone at (865) 541-1111.

Shannon Jackson is licensed to practice in Tennessee (license number 124643) 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 1972076875.

Contact Information

Shannon Jackson, CRNA
1901 Clinch Ave,
Knoxville, TN 37916-2307
(865) 541-1111
Not Available

Map and Direction




Provider's Profile

Full NameShannon Jackson
GenderFemale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience6 Years
Location1901 Clinch Ave, Knoxville, Tennessee
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Shannon Jackson graduated from nursing school in 2018
  NPI Data:
  • NPI Number: 1972076875
  • Provider Enumeration Date: 01/03/2019
  • Last Update Date: 04/12/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 9234471046
  • Enrollment ID: I20190426001715

Medical Identifiers

Medical identifiers for Shannon Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1972076875NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 124643 (Tennessee)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Fort Sanders Regional Medical CenterKnoxville, TNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mmc Anesthesia Group, Pc6901795830180

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. Shannon Jackson allows following entities to bill medicare on her behalf.
Entity NameMmc Anesthesia Group, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639148117
PECOS PAC ID: 6901795830
Enrollment ID: O20040310001466
Entity NameAmerican Anesthesiology Of Tennessee Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609822998
PECOS PAC ID: 9931001922
Enrollment ID: O20040713001364

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. Shannon 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
Shannon Jackson, CRNA
500 Mountain Pass Ln,
Knoxville, TN 37923-5723

Ph: (615) 351-7608		Shannon Jackson, CRNA
1901 Clinch Ave,
Knoxville, TN 37916-2307

Ph: (865) 541-1111

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Knoxville, TN

Andrea Kathryn Kottmeier,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1311 Dowell Springs Blvd, Knoxville, TN 37909
Phone: 865-588-5121    
James Ryan Wallace, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1901 Clinch Ave, Knoxville, TN 37916
Phone: 865-342-9098    
Michelle L Palmer, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 501 20th St, Suite 606, Knoxville, TN 37916
Phone: 865-546-8040    Fax: 865-541-2787
Alejandro Conde,
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 1924 Alcoa Hwy, Knoxville, TN 37920
Phone: 865-305-9000    
Elizabeth Stevens, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 501 20th St, Suite 606, Knoxville, TN 37916
Phone: 865-546-8040    Fax: 865-541-2787
Gregory William Hagopian, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 501 20th St, Suite 606, Knoxville, TN 37916
Phone: 865-546-8040    Fax: 865-541-2787
Wanda White, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 501 20th St, Suite 606, Knoxville, TN 37916
Phone: 865-546-8040    Fax: 865-541-2787

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.