Creekside CRNA Anesthesia
NPI 1538810643ActiveOrganization· Nurse Anesthetist, Certified Registered· Conroe, TX
Nurse Anesthetist, Certified Registered in Conroe, Texas, registered in NPPES in January 2022. The authorized official on file is Jessen Mukalel, MD, President.
Overview
| NPI | 1538810643 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 11, 2022 |
| Last updated in NPPES | Mar 20, 2026 |
| Certified by provider | Mar 20, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Anesthetist, Certified Registered Primary | 367500000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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