ZACHARY HALLIWELL CRNA
NPI 1053951194
Nurse Anesthetist, Certified Registered in Jackson, MS

Active since January 07, 2020Accepts Medicare Assignment
969 LAKELAND DR, JACKSON, MS 39216(601) 200-2000 Get Directions Write a Review

NPPES record last updated: January 7, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Zachary Halliwell Crna NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ZACHARY HALLIWELL CRNA (NPI 1053951194) is an individual nurse anesthetist, certified registered in Jackson, Mississippi, licensed in Mississippi (899108) and active in the NPI registry since January 2020. He is affiliated with King's Daughters Medical Center-brookhaven and is a graduate of Other (2019).

NPPES Registry Identity

NPI1053951194
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameZACHARY HALLIWELLCredential: CRNA
Location Address969 LAKELAND DRJackson, MS 39216-4606
Mailing AddressPo Box 235019Montgomery, AL 36123-5019
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJanuary 7, 2020
NPI 1053951194 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License Licensed in MS · 899108
Definition

(1) A licensed 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. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

969 LAKELAND DR, Jackson, MS 39216

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Zachary Halliwell Crna is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1254768666
PECOS Enrollment IDI20200225001394

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
23 services23 patients
Anesthesia for other procedure on lower abdomen 00840
Anesthesia for a lower abdomen procedure involves medication to eliminate pain during surgery. You might be awake but relaxed and pain-free, or you may be completely unconscious. It's administered to ensure comfort and safety throughout the operation.
20 services20 patients
Anesthesia for x-ray or radiation therapy 01922
Anesthesia for x-ray or radiation therapy involves administering medication to help you relax or sleep during the procedure. It's used to ensure comfort, minimize movement, and reduce anxiety. The type of anesthesia used depends on the procedure and patient's health.
13 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

King's Daughters Medical Center-Brookhaven

Acute Care Hospitals · Brookhaven, MS
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number250057
Location427 Highway 51 NorthBrookhaven, MS 39601 · Lincoln County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39216 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$120.41 typical visit price
range $51.65 – $159.18
Typical copayment $30.10 (range $12.91 – $39.79)
Most-billed visit code 99204
Established Patient
$64.96 typical visit price
range $16.15 – $129.61
Typical copayment $16.24 (range $4.03 – $32.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
969 LAKELAND DR
JACKSON, MS 39216
Pharmacy (Institutional Pharmacy)
969 LAKELAND DR
JACKSON, MS 39216
Nurse Practitioner
969 LAKELAND DR
JACKSON, MS 39216
Nurse Practitioner (Family)
969 LAKELAND DR
JACKSON, MS 39216
Nurse Practitioner (Family)
969 LAKELAND DR
JACKSON, MS 39216
Nurse Practitioner (Family)
969 LAKELAND DR
JACKSON, MS 39216
Emergency Medicine
969 LAKELAND DR
JACKSON, MS 39216
Radiology (Diagnostic Radiology)
969 LAKELAND DR
JACKSON, MS 39216

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Zachary Halliwell's NPI number?

The NPI number for Zachary Halliwell is 1053951194. It was assigned to this individual provider in the NPPES registry on January 7, 2020.

Where is Zachary Halliwell located?

Zachary Halliwell practices at 969 Lakeland Dr, Jackson, MS 39216. The listed phone number is (601) 200-2000.

What is Zachary Halliwell's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Zachary Halliwell enrolled in Medicare?

Yes. Zachary Halliwell is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Zachary Halliwell affiliated with any hospitals?

According to CMS data, Zachary Halliwell is affiliated with King's Daughters Medical Center-Brookhaven.

When was this NPI record last updated?

The NPPES record for Zachary Halliwell was last updated on January 7, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.