Lyle Jeremy Jackson, CRNA
Orthopedic Registered Nurse · Idaho Falls, ID
Lyle Jeremy Jackson, CRNA is an orthopedic registered nurse with a practice address in Idaho Falls, Idaho, and NPI 1225597305, issued on Mar 18, 2019. Check the license (Idaho 62439, as entered in NPPES) with the Idaho board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Lyle Jeremy Jackson
- Credential
- CRNA
- Primary taxonomy
- Orthopedic Registered Nurse 163WX0800X
- License numbers
- 62439 ID
D183481 IA
125895 VA
Self-reported in NPPES; status is on the state search - Practice location
- 2325 Coronado St, Idaho Falls, ID 83404
- Phone
- (208) 557-2700
- Enumerated
- Mar 18, 2019
- Record last updated
- Jun 30, 2025
- Medicare enrollment
- Enrolled (PECOS I20250607000144); accepts Medicare assignment
- Entity
- Type 1 · individual
4 nearest orthopedic registered nurse records → All 5 in Idaho → Look up another NPI →
Also registered at 2325 Coronado St
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Jaxon Anderson, CRNACertified Registered Nurse Anesthetist1043568892
- Saige BeckerPharmacist1306455910
- Michael Bertoch, CRNACertified Registered Nurse Anesthetist1609955129
- Richard BlackPharmacist1093545014
- Kathryn Burton, PHARMDPharmacist1669114104
- Kryston Carling, PHARMDPharmacist1376195776
Verify Lyle Jeremy Jackson in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Idaho board licenses this profession
Search for license 62439Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through 4 group practices
- Cep America - Anesthesia PCDes Moines, IA
- Iceland Anesthesia Management LLCTerre Haute, IN
- Mountain View Hospital LLCIdaho Falls, ID
- North Iowa Mercy ClinicsMason City, IA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Orthopedic Registered Nurse providers in Idaho
There are 5 orthopedic registered nurse records in Idaho.
All 5 in Idaho → Every provider in Idaho Falls → Orthopedic Registered Nurse nationwide →
The 4 orthopedic registered nurse records with the nearest ZIP codes
- Nancy Wasilewski, R.N.Ketchum, ID 833401407888720
- Brianne BenderLewiston, ID 835011417327214
- Kim Paulson, RNFATwin Falls, ID 833011962556167
- Jodi Miller, RNBoise, ID 837041629097159
Common questions
What is Lyle Jeremy Jackson, CRNA's NPI number?
Lyle Jeremy Jackson, CRNA's National Provider Identifier (NPI) is 1225597305, issued on Mar 18, 2019. An NPI identifies a provider in billing; it is not a license.
Where is Lyle Jeremy Jackson, CRNA located?
The NPPES record lists a practice address at 2325 Coronado St, Idaho Falls, ID, 83404. Phone: (208) 557-2700. Providers update this record themselves, so call before visiting.
How can I verify Lyle Jeremy Jackson, CRNA's license?
NPPES lists Idaho license number 62439, as entered by the provider. Search the Idaho 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.
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.