DR. TRYSELDAH MUTSAGO JABANGWE
NPI 1104663608
Nurse Anesthetist, Certified Registered in Little Rock, AR

Q: What is Tryseldah Jabangwe's NPI number?

The NPI number for Tryseldah Jabangwe is 1104663608. It was assigned to this individual provider in the NPPES registry on July 11, 2024. The provider is also known as Tryseldah Musikavanhu.

Q: What is Tryseldah Jabangwe's specialty?

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

Active since July 11, 2024Accepts Medicare Assignment

4301 W MARKHAM ST # 529, LITTLE ROCK, AR 72205(469) 571-1048 Get Directions Write a Review

NPPES record last updated: June 12, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jun 12, 2025, Jul 11, 2024 (2 updates tracked since 2024).

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About Dr. Tryseldah Mutsago Jabangwe NPPES

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

DR. TRYSELDAH MUTSAGO JABANGWE (NPI 1104663608) is an individual nurse anesthetist, certified registered in Little Rock, Arkansas, licensed in Texas (1204174) and active in the NPI registry since July 2024. She is affiliated with Hunt Regional Medical Center and is a graduate of University Of Arkansas College Of Medicine (2024).

NPPES Registry Identity

NPI1104663608

Entity TypeIndividualFemale

Primary Taxonomy367500000X

Provider Legal NameDR. TRYSELDAH MUTSAGO JABANGWE

Location Address4301 W MARKHAM ST # 529Little Rock, AR 72205-7101

Mailing Address4301 W Markham St # 529Little Rock, AR 72205-7101 · (469) 571-1048

Phone(469) 571-1048

Sole ProprietorNo

Medical School CMSUniversity Of Arkansas College Of MedicineGraduated 2024

Enumeration DateJuly 11, 2024

Last NPPES UpdateJune 12, 20252 updates tracked since enumeration

NPPES CertifiedJune 12, 2025

✔ NPI 1104663608 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

License✔ Licensed in TX · 1204174

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.

Also ListedRegistered Nurse · Critical Care MedicineTaxonomy 163WC0200X · License 866521 (TX)

4301 W MARKHAM ST # 529, Little Rock, AR 72205

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Other Names 1

Former Name (1)Tryseldah Musikavanhu

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

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

Dr. Tryseldah Mutsago Jabangwe 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 ID7315459229

PECOS Enrollment IDI20250625003372

Hospital Affiliations CMS Care Compare

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

Hunt Regional Medical Center

Acute Care Hospitals · Greenville, TX

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number450352

Location4215 Joe Ramsey Blvd EGreenville, TX 75401 · Hunt County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72205 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

$119.36 typical visit price

range $51.36 – $157.74

Typical copayment $29.84 (range $12.84 – $39.43)

Most-billed visit code 99204

Established Patient

$64.56 typical visit price

range $16.16 – $128.77

Typical copayment $16.14 (range $4.04 – $32.19)

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 3

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

SARAH J RHOADS DNP, APN

Nurse Practitioner (Women's Health)

4301 W MARKHAM ST # 529
LITTLE ROCK, AR 72205

Pulaski County (501) 240-5268

JUDY LABONTE

Nurse Practitioner (Family)

4301 W MARKHAM ST # 529
LITTLE ROCK, AR 72205

Pulaski County (501) 296-1123

CONNOR NOWOTNY

Nurse Anesthetist, Certified Registered

4301 W MARKHAM ST # 529
LITTLE ROCK, AR 72205

Pulaski County (501) 585-5224

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 Tryseldah Jabangwe's NPI number?

The NPI number for Tryseldah Jabangwe is 1104663608. It was assigned to this individual provider in the NPPES registry on July 11, 2024. The provider is also known as Tryseldah Musikavanhu.

Where is Tryseldah Jabangwe located?

Tryseldah Jabangwe practices at 4301 W Markham St # 529, Little Rock, AR 72205. The listed phone number is (469) 571-1048.

What is Tryseldah Jabangwe's specialty?

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

Is Tryseldah Jabangwe enrolled in Medicare?

Yes. Tryseldah Jabangwe 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.

What insurance does Tryseldah Jabangwe accept?

Health plans from Blue Cross and Blue Shield of Texas list Tryseldah Jabangwe as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Tryseldah Jabangwe affiliated with any hospitals?

According to CMS data, Tryseldah Jabangwe is affiliated with Hunt Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Tryseldah Jabangwe was last updated on June 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.