MR. JERRY L MIXON CRNA
NPI 1306945944
Nurse Anesthetist, Certified Registered in Nacogdoches, TX

NPI Status: Active since September 21, 2006

Contact Information

4920 NE STALLINGS DR
NACOGDOCHES, TX
ZIP 75965
Phone: (936) 569-9481
Fax: (936) 462-4333

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  • Individual
  • Male
  • Nurse Anesthetist, Certified Registered
  • Accepts Insurance
  • Medicare Quality Reporting

About JERRY MIXON

This page provides the complete NPI Profile along with additional information for Jerry Mixon, a provider established in Nacogdoches, Texas with a medical specialization in Nurse Anesthetist, Certified Registered. The healthcare provider is registered in the NPI registry with number 1306945944 assigned on September 2006. The practitioner's primary taxonomy code is 367500000X with license number 227393 (TX). The provider is registered as an individual and his NPI record was last updated 17 years ago.

NPI
1306945944
Provider Name
MR. JERRY L MIXON CRNA
Gender
Male
Entity Type
Individual
Location Address
4920 NE STALLINGS DR NACOGDOCHES, TX 75965
Location Phone
(936) 569-9481
Location Fax
(936) 462-4333
Mailing Address
PO BOX 632114 NACOGDOCHES, TX 75963
Mailing Phone
(936) 568-0087
Is Sole Proprietor?
No
Enumeration Date
09-21-2006
Last Update Date
03-02-2009
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Anesthetist, Certified Registered

Taxonomy Code
367500000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
227393
License State
TX
Taxonomy Description
(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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Advantage Bronze HMO? 204 - HMO
  • Blue Advantage Bronze HMO? 301 - HMO
  • Blue Advantage Bronze HMO? Standard - HMO
  • Blue Advantage Gold HMO? 206 - HMO
  • Blue Advantage Gold HMO? 603 - HMO
  • Blue Advantage Gold HMO? Standard - HMO
  • Blue Advantage Plus Bronze? 303 - POS
  • Blue Advantage Plus Bronze? 305 - POS
  • Blue Advantage Plus Bronze? Standard - POS
  • Blue Advantage Plus Gold? 203 - POS
  • Blue Advantage Plus Gold? 803 - POS
  • Blue Advantage Plus Gold? Standard - POS
  • Blue Advantage Plus Silver? 202 - POS
  • Blue Advantage Plus Silver? 605 - POS
  • Blue Advantage Plus Silver? Standard - POS
  • Blue Advantage Security HMO? 200 - HMO
  • Blue Advantage Silver HMO? 205 - HMO
  • Blue Advantage Silver HMO? 801 - HMO
  • Blue Advantage Silver HMO? Standard - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
088527903MEDICAID (05)TX 
8K3924MEDICARE PIN (08)TX 
88693UOTHER (01)TXBCBS

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Anesthesia for lens surgery

Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.

This service was performed 224 times for 209 patients

Quality Reporting

The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.

Quality Measure Performance Number of Patients
Participation in an AHRQ-listed patient safety organization.YesN/A
Participation in an AHRQ-listed patient safety organization.
Post-Anesthetic Transfer of Care Measure: Procedure Room to a Post Anesthesia Care Unit (PACU) 99% 193
Percentage of patients, regardless of age, who are under the care of an anesthesia practitioner and are admitted to a PACU or other non-ICU location in which a post-anesthetic formal transfer of care protocol or checklist which includes the key transfer of care elements is utilized
Use of QCDR data for ongoing practice assessment and improvementsYesN/A
Use of QCDR data, for ongoing practice assessment and improvements in patient safety.
Use of QCDR to promote standard practices, tools and processes in practice for improvement in care coordinationYesN/A
Participation in a Qualified Clinical Data Registry, demonstrating performance of activities that promote use of standard practices, tools and processes for quality improvement (e.g., documented preventative screening and vaccinations that can be shared across MIPS eligible clinician or groups).

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1306945944, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
0
Doubled → 0
Pos 4
6
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
4
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
9
Unchanged
Pos 9
4
Doubled → 8
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 9 → 18 → 9 5 → 10 → 1 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 0 + 6 + 1 + 8 + 4 + 1 + 0 + 9 + 8 + 24 = 66

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 66 is 70. The difference is the calculated check digit.

70 - 66 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1306945944.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Physical Therapist
4920 NE STALLINGS DR
NACOGDOCHES, TX 75965
Registered Nurse (Wound Care)
4920 NE STALLINGS DR
NACOGDOCHES, TX 75965
Radiology (Diagnostic Radiology)
4920 NE STALLINGS DR
NACOGDOCHES, TX 75965
Radiology (Diagnostic Radiology)
4920 NE STALLINGS DR
NACOGDOCHES, TX 75965
Radiology (Diagnostic Radiology)
4920 NE STALLINGS DR
NACOGDOCHES, TX 75965
Radiology (Diagnostic Radiology)
4920 NE STALLINGS DR
NACOGDOCHES, TX 75965
Emergency Medicine
4920 NE STALLINGS DR
NACOGDOCHES, TX 75965
Emergency Medicine
4920 NE STALLINGS DR
NACOGDOCHES, TX 75965
Radiology (Radiation Oncology)
4920 NE STALLINGS DR
NACOGDOCHES, TX 75965
Radiology (Diagnostic Radiology)
4920 NE STALLINGS DR
NACOGDOCHES, TX 75965
Radiology (Diagnostic Radiology)
4920 NE STALLINGS DR
NACOGDOCHES, TX 75965
Dietitian, Registered
4920 NE STALLINGS DR
NACOGDOCHES, TX 75965
Dietitian, Registered
4920 NE STALLINGS DR
NACOGDOCHES, TX 75965
Radiology (Radiation Oncology)
4920 NE STALLINGS DR
NACOGDOCHES, TX 75965
Emergency Medicine
4920 NE STALLINGS DR
NACOGDOCHES, TX 75965
Emergency Medicine
4920 NE STALLINGS DR
NACOGDOCHES, TX 75965
Pathology (Anatomic Pathology & Clinical Pathology)
4920 NE STALLINGS DR
NACOGDOCHES, TX 75965
Dietitian, Registered
4920 NE STALLINGS DR
NACOGDOCHES, TX 75965
Nurse Practitioner (Family)
4920 NE STALLINGS DR
NACOGDOCHES, TX 75965
Anesthesiology
4920 NE STALLINGS DR
NACOGDOCHES, TX 75965

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1306945944, enumerated as an "individual" on September 21, 2006.

The provider is located at 4920 NE STALLINGS DR NACOGDOCHES, TX 75965 and the phone number is (936) 569-9481.

Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Texas, Medicare,. Please consult your insurance carrier or call the provider to verify.