Lyle Jackson, CRNA
Lyle Jackson, CRNA is an Orthopedic Registered Nurse in Idaho Falls, ID, registered under NPI 1225597305. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.
Getting there
The practice address on file is 2325 CORONADO ST, Idaho Falls, ID 83404. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 62439 | ID | Orthopedic Registered Nurse primary |
| 125895 | VA | Certified Registered Nurse Anesthetist |
| D183481 | IA | Certified Registered Nurse Anesthetist |
Licences are recorded in 3 states: ID, VA, IA. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.
- Status
- Approved
- Provider type
- Practitioner - Certified Registered Nurse Anesthetist (crna)
- PAC ID
- 9931434586
Enrolled in Medicare 3 times, across 3 states:
| State | Enrollment ID | Provider type |
|---|---|---|
| Idaho | I20210422003117 | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Indiana | I20230505001511 | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Iowa | I20250607000144 | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Medicare enrolment is recorded as approved under the provider type Practitioner - Certified Registered Nurse Anesthetist (crna). There are 3 separate enrolment records across 3 states (ID, IN, IA). Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
Licensed in 3 states
This provider holds licences in 3 states: Iowa, Idaho and Virginia. The practice address on file is in Idaho Falls, ID, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.
- Licence
- 62439
- Specialty
- Orthopedic Registered Nurse
- Licence
- 125895
- Specialty
- Certified Registered Nurse Anesthetist
Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.
What Orthopedic covers
Definition to come... NUCC Health Care Provider Taxonomy, code 163WX0800X
All registered taxonomy codes
This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 163WX0800X | Orthopedic Registered Nurse Orthopedic | 62439 | ID | primary |
| 367500000X | Certified Registered Nurse Anesthetist | 125895 | VA | |
| 367500000X | Certified Registered Nurse Anesthetist | D183481 | IA |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1225597305 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Mar 18, 2019 |
| Last updated | Jun 30, 2025 |
| Status | Active |
| Sole proprietor | Yes |
| Credential | CRNA |
| Practice address |
2325 CORONADO ST Idaho Falls, ID 83404 (208) 557-2700 |
| Mailing address |
1090 BARNEY DAIRY RD Rexburg, ID 83440 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 2 | 2 | 5 | 5 | 9 | 7 | 3 | 0 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 2 | 4 | 5 | 1 | 9 | 5 | 3 | 0 |
Sum = 55 · next multiple of 10 = 60 · check digit = 5 · actual last digit = 5
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.