SCOTT C WIXOM CRNA
NPI 1780636407
Nurse Anesthetist, Certified Registered in Tulsa, OK
About Scott C Wixom Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SCOTT C WIXOM CRNA (NPI 1780636407) is an individual nurse anesthetist, certified registered in Tulsa, Oklahoma, licensed in Missouri (2003026225) and active in the NPI registry since May 2006. He is a graduate of Other (2006).
NPPES Registry Identity
Specialties & Licenses
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
Scott C Wixom 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 Scott Wixom reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Richardson, TX 75082
- Reassigned Medicare billing, Arizona enrollment
- 390 clinicians in this Medicare group
Mesa, AZ 85206
- Reassigned Medicare billing, Arizona enrollment
- 94 clinicians in this Medicare group
Mesa, AZ 85206
- Reassigned Medicare billing, Arizona enrollment
- 298 clinicians in this Medicare group
Mesa, AZ 85201
- Reassigned Medicare billing, Arizona enrollment
- 15 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 74104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
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 Scott Wixom's NPI number?
The NPI number for Scott Wixom is 1780636407. It was assigned to this individual provider in the NPPES registry on May 17, 2006.
Where is Scott Wixom located?
Scott Wixom practices at 1120 S Utica Ave, Tulsa, OK 74104. The listed phone number is (918) 728-4719.
What is Scott Wixom's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Scott Wixom enrolled in Medicare?
Yes. Scott Wixom 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 Scott Wixom's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Scott Wixom reassigns Medicare benefits to 4 organizations: Anesthesia Partners Of Arizona LLC (Richardson, TX), Gateway Anesthesia And Pain Associates PLLC (Mesa, AZ), Ascend Anesthesia LLC (Mesa, AZ) and Meta Anesthesia (Mesa, AZ). 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 Scott Wixom's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Scott Wixom accept?
Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc. and Oscar Insurance Company list Scott Wixom 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 Scott Wixom was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Scott C Wixom, CRNA · NPI 1780636407
Nurse Anesthetist, Certified Registered physician in Tulsa, Oklahoma. Individual provider, active in the CMS NPPES registry since May 17, 2006.
## Identity
- **NPI:** 1780636407 (Entity type: Individual)
- **Enumerated:** May 17, 2006
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 2003026225 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 1120 S UTICA AVE, Tulsa, OK 74104-4012
- **Phone:** (918) 728-4719
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Anesthesia Partners Of Arizona LLC (NPI 1619452901, Richardson, TX); Gateway Anesthesia And Pain Associates PLLC (NPI 1710026125, Mesa, AZ); Ascend Anesthesia LLC (NPI 1407642945, Mesa, AZ); Meta Anesthesia (NPI 1578352936, Mesa, AZ) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2006
## Record status
- **NPPES last updated:** July 8, 2007
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Source: [NPI Profile](https://npiprofile.com/npi/1780636407) · Data from the CMS NPPES public registry.