Luke Jarvis Jackson, CRNA
NPI 1194136010ActiveIndividual· Nurse Anesthetist, Certified Registered· Great Falls, MT
Nurse Anesthetist, Certified Registered (CRNA) with Northstar Anesthesia of Idaho PLLC, practicing in Great Falls, Montana. Medicare paid $9,673 for services to 72 patients in 2024. Lists Portneuf Medical Center as a hospital affiliation.
Overview
| NPI | 1194136010 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | CRNA |
| Sole proprietor | No |
| NPI issued | May 13, 2014 |
| Last updated in NPPES | May 13, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Anesthetist, Certified Registered Primary | 367500000X | NUR-RN-LIC-74240 | MT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Certified Registered Nurse Anesthetist (CRNA) (ID) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 72 |
|---|---|
| Services billed | 73 across 30 procedure codes |
| Paid by Medicare | $9,673 |
Education and affiliations
| Graduation year | 2014 |
|---|---|
| Medicare specialty | Certified Registered Nurse Anesthetist (Crna) |
Medical group
- Northstar Anesthesia of Idaho PLLCPocatello, ID · 35 clinicians
Hospital affiliation
- Portneuf Medical CenterPocatello, ID
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Nurse Anesthetist, Certified Registered providers in Great Falls
- 1245256916
- 1629415229
- 1659751105
- 1740283456
- 1467999805
- 1760243489
- 1619738333
- 1477597359
- 1801863261
- 1275515660
- 1831165505
- 1205870326
All Nurse Anesthetist, Certified Registered providers in Montana →