Mr. Jerry L Mixon is a Nacogdoches, Texas based nurse anesthetist with 51 years of experience as Anesthesia Administration. He completed he graduation in 1974. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Mr. Jerry L Mixon is 227393 for Anesthesia Administration in Texas. his current practice location is 4920 Ne Stallings Dr, Nacogdoches. Patients can reach him at 936-569-9481 or can fax him at 936-462-4333. Mr. Jerry L Mixon is CRNA with specialization in Anesthesia Administration and he NPI number (Unique professional ID assigned by NPPES) is 1306945944. Mr. Jerry L Mixon is a certified registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists.
Complete Profile:
Mr. Jerry L Mixon speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Anesthesia Administration
Credentials:
CRNA
Experience:
51+ years
Medical School Attended:
Other
Graduation Year:
1974
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
4920 Ne Stallings Dr, Nacogdoches, Texas, 75965-1254
Phone:
936-569-9481
Fax:
936-462-4333
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
0941387880
Enrollment ID:
I20080402000861
NPI Number:
1306945944
NPI Enumeration Date:
21 Sep, 2006
NPI Last Update On:
02 Mar, 2009
Medical Licenses:
Nurses can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Jerry L Mixon are as mentioned below.
License Number
Specialization
State
Status
227393
Anesthesia Administration
Texas
Primary
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Mr. Jerry L Mixon has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
The Center For Sight, Pa (0345137097)
6
Other Medical Identifiers:
Other legacy medical identifiers associated with Mr. Jerry L Mixon such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
088527903
Medicaid
Texas
88693U
Other
Texas
BCBS
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Po Box 632114, Nacogdoches, Texas
Zip:
75963-2114
Phone Number:
936-568-0087
Fax Number:
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Patients can reach Mr. Jerry L Mixon at 4920 Ne Stallings Dr, Nacogdoches, Texas or can call to book an appointment on 936-569-9481.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 March, 2025.