MARK J SISTRUNK CRNA
NPI 1578748455
Nurse Anesthetist, Certified Registered in Jackson, MS
About Mark J Sistrunk Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARK J SISTRUNK CRNA (NPI 1578748455) is an individual nurse anesthetist, certified registered in Jackson, Mississippi, licensed in Mississippi (R857282) and active in the NPI registry since January 2008. He is enrolled in Medicare PECOS and is a graduate of Other (2007).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
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
Mark J Sistrunk 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
4Medicare enrollment records show Mark Sistrunk reassigns Medicare billing to 4 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
Jackson, MS 39216
- Reassigned Medicare billing, Mississippi enrollment
- 31 clinicians in this Medicare group
Jackson, MS 39202
- Reassigned Medicare billing, Mississippi enrollment
- 92 clinicians in this Medicare group
Jackson, MS 39208
- Reassigned Medicare billing, Mississippi enrollment
- 154 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 5
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.
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.
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
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 Mark Sistrunk's NPI number?
The NPI number for Mark Sistrunk is 1578748455. It was assigned to this individual provider in the NPPES registry on January 9, 2008.
Where is Mark Sistrunk located?
Mark Sistrunk practices at 971 Lakeland Dr Suite 202, Jackson, MS 39216. The listed phone number is (601) 362-1990.
What is Mark Sistrunk's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Mark Sistrunk enrolled in Medicare?
Yes. Mark Sistrunk 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 Mark Sistrunk's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mark Sistrunk reassigns Medicare benefits to 4 organizations: Physicians Anesthesia Group, P.A. (Jackson, MS), Physicians Anesthesia Group Staffing, LLC (Jackson, MS), Jackson Anesthesia Associates PA (Jackson, MS) and Anesthesia Consultants PA (Jackson, 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 Mark Sistrunk's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mark Sistrunk accept?
Health plans from Blue Cross and Blue Shield of Alabama list Mark Sistrunk 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.
When was this NPI record last updated?
The NPPES record for Mark Sistrunk was last updated on January 9, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Mark J Sistrunk, CRNA · NPI 1578748455
Nurse Anesthetist, Certified Registered physician in Jackson, Mississippi. Individual provider, active in the CMS NPPES registry since January 9, 2008.
## Identity
- **NPI:** 1578748455 (Entity type: Individual)
- **Enumerated:** January 9, 2008
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** R857282 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 971 LAKELAND DR, SUITE 202, Jackson, MS 39216-4643
- **Phone:** (601) 362-1990 · **Fax:** (601) 362-1988
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Physicians Anesthesia Group, P.A. (NPI 1407890783, Jackson, MS); Physicians Anesthesia Group Staffing, LLC (NPI 1558102772, Jackson, MS); Jackson Anesthesia Associates PA (NPI 1780737577, Jackson, MS); Anesthesia Consultants PA (NPI 1750300836, Jackson, MS) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2007
## Record status
- **NPPES last updated:** January 9, 2008
- **Other identifiers:** Other R857282 (MS)
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Source: [NPI Profile](https://npiprofile.com/npi/1578748455) · Data from the CMS NPPES public registry.