ZACHARY HALLIWELL CRNA
NPI 1053951194
Nurse Anesthetist, Certified Registered in Jackson, MS
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 enrolled in Medicare PECOS, is affiliated with King's Daughters Medical Center-brookhaven, and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
2Medicare enrollment records show Zachary Halliwell reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Jackson, MS 39216
- Reassigned Medicare billing, Mississippi enrollment
- 86 clinicians in this Medicare group
Brookhaven, MS 39601
- Reassigned Medicare billing, Mississippi enrollment
- Medicare enrollment name: Kings Daughters Medical Center
- 153 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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, MSPhysician 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.
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.
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.
Which organizations bill Medicare for Zachary Halliwell's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Zachary Halliwell reassigns Medicare benefits to 2 organizations: Physicians Anesthesia Group, P.A. (Jackson, MS) and King's Daughters Medical Center (Brookhaven, MS). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Zachary Halliwell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Zachary Halliwell, CRNA · NPI 1053951194
Nurse Anesthetist, Certified Registered physician in Jackson, Mississippi. Individual provider, active in the CMS NPPES registry since January 7, 2020.
## Identity
- **NPI:** 1053951194 (Entity type: Individual)
- **Enumerated:** January 7, 2020
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 899108 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 969 LAKELAND DR, Jackson, MS 39216-4606
- **Phone:** (601) 200-2000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Physicians Anesthesia Group, P.A. (NPI 1407890783, Jackson, MS); King's Daughters Medical Center (NPI 1972503464, Brookhaven, MS) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** January 7, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1053951194) · Data from the CMS NPPES public registry.