NPPES file of Aug 9, 2026

Ethan Jared Jackson

Certified Registered Nurse Anesthetist · Plymouth, MN

Ethan Jared Jackson is a certified registered nurse anesthetist with a practice address in Plymouth, Minnesota, and NPI 1376348185, issued on Feb 17, 2025. Check the license (Minnesota 3138, as entered in NPPES) with the Minnesota board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1376348185
Name
Ethan Jared Jackson
Primary taxonomy
Certified Registered Nurse Anesthetist 367500000X
License number
3138 MN
Self-reported in NPPES; status is on the state search
Practice location
14700 28TH Ave N Ste 20, Plymouth, MN 55447
Phone
(763) 559-3779
Enumerated
Feb 17, 2025
Record last updated
Apr 14, 2025
Fax
(763) 450-3986
Medicare enrollment
Enrolled (PECOS I20250410000588); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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8 nearest certified registered nurse anesthetist records → All 2,663 in Minnesota → Look up another NPI →

Also registered at 14700 28TH Ave N Ste 20

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Kolawole AkinduroAnesthesiology Physician1396130746
  2. Nancy Allen, CRNACertified Registered Nurse Anesthetist1639354640
  3. Erik Anderson, MDAnesthesiology Physician1104404011
  4. Kyle Anderson, MDAnesthesiology Physician1992333215
  5. Leslie Avalos, APRN, CRNACertified Registered Nurse Anesthetist1760058283
  6. Kendall Bailey, CRNACertified Registered Nurse Anesthetist1972265809

Verify Ethan Jared Jackson in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Minnesota board licenses this profession
    Search for license 3138    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Minnesota license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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Bills Medicare through one group practice

  1. Metropolitan Anesthesia Network LLPSaint Paul, MN

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Ethan Jared Jackson among 2,663 certified registered nurse anesthetist records in Minnesota

Ethan Jared Jackson is one of 2,663 certified registered nurse anesthetist records with a practice address in Minnesota. 73% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2025, is newer than 96% of them.

  • NPI issued2025 · 96% of these records are older, 1% newer
  • In a Medicare fileYes · 73% of these records are
  • In the CMS Doctors and Clinicians fileYes · 72% of these records are
  • Graduated2025 · median 2013 among the 1,930 with a school on file
  • Record last updated2025 · 62% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 367500000X and a Minnesota practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

124 certified registered nurse anesthetist records list a practice address in Plymouth

They are 124 of the 1,500 NPPES records with a practice address in Plymouth, and 2,663 certified registered nurse anesthetist records in Minnesota.

All 2,663 in Minnesota → Every provider in Plymouth → Certified Registered Nurse Anesthetist nationwide →

The 8 certified registered nurse anesthetist records with the nearest ZIP codes

  1. Nancy Allen, CRNAPlymouth, MN 554471639354640
  2. Karen Anonsen, CRNAPlymouth, MN 554471376699520
  3. John Bisciglia, CRNAPlymouth, MN 554471679682579
  4. Julie Castagno, CRNAPlymouth, MN 554471912204017
  5. Leigh Davis, CRNAPlymouth, MN 554471538561154
  6. Andrew DickmanPlymouth, MN 554471831618859
  7. Mowoh Endeley, CRNAPlymouth, MN 554471083151591
  8. Theresa Geoffrion, CRNAPlymouth, MN 554471073862199

Common questions

What is Ethan Jared Jackson's NPI number?

Ethan Jared Jackson's National Provider Identifier (NPI) is 1376348185, issued on Feb 17, 2025. An NPI identifies a provider in billing; it is not a license.

Where is Ethan Jared Jackson located?

The NPPES record lists a practice address at 14700 28TH Ave N Ste 20, Plymouth, MN, 55447. Phone: (763) 559-3779. Providers update this record themselves, so call before visiting.

How can I verify Ethan Jared Jackson's license?

NPPES lists Minnesota license number 3138, as entered by the provider. Search the Minnesota board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Written with AI tools from the named public files; every figure is computed from those files (how it is made).

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.