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Jerry L. Mixon, CRNA

NPI 1306945944ActiveIndividual· Nurse Anesthetist, Certified Registered· Nacogdoches, TX

Nurse Anesthetist, Certified Registered (CRNA) in Nacogdoches, Texas, licensed in TX, with an NPI issued in September 2006. Medicare paid $11,533 for services to 111 patients in 2024.

Overview

NPI1306945944
StatusActive
Entity typeIndividual
CredentialCRNA
Sole proprietorNo
NPI issuedSep 21, 2006
Last updated in NPPESMar 2, 2009

Specialties and licenses

TaxonomyCodeLicenseState
Nurse Anesthetist, Certified Registered Primary367500000X227393TX

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients111
Services billed150 across 1 procedure code
Paid by Medicare$11,533

Medicare sources and data years

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

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