JACQUELYN BREAUX CRNA
NPI 1912444555
Nurse Anesthetist, Certified Registered in Lawton, OK

Active since January 20, 2017PECOS EnrolledAccepts Medicare Assignment
3401 W GORE BLVD, LAWTON, OK 73505(580) 355-8620 Get Directions Write a Review

NPPES record last updated: August 28, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jacquelyn Breaux Crna NPPES

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

JACQUELYN BREAUX CRNA (NPI 1912444555) is an individual nurse anesthetist, certified registered in Lawton, Oklahoma, licensed in Oklahoma (106676) and active in the NPI registry since January 2017. She is enrolled in Medicare PECOS, is affiliated with Integris Baptist Medical Center, Inc, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1912444555
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameJACQUELYN BREAUXCredential: CRNA
Location Address3401 W GORE BLVDLawton, OK 73505-6332
Mailing Address1208 S 19th StChickasha, OK 73018-3812
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJanuary 20, 2017
Last NPPES UpdateAugust 28, 2025
NPPES CertifiedAugust 28, 2025
✔ NPI 1912444555 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in OK · 106676
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.
3401 W GORE BLVD, Lawton, OK 73505

Other Names 1

Former Name (1)Jacquelyn Drummond

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

Jacquelyn Breaux 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.

PECOS PAC ID9436433224
PECOS Enrollment IDI20170222001295, I20251106002002
Eligible to Order & Refer✔ Part B Labs & Imaging– Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

10

Medicare enrollment records show Jacquelyn Breaux reassigns Medicare billing to 10 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anesthesiology
1801 W 3RD ST
Elk City, OK 73644
  • Reassigned Medicare billing, Oklahoma enrollment
  • 108 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
21 NE 3RD ST
Oklahoma City, OK 73104
  • Reassigned Medicare billing, Oklahoma enrollment
  • 13 clinicians in this Medicare group
Anesthesiology
5501 N PORTLAND AVE
Oklahoma City, OK 73112
  • Reassigned Medicare billing, Oklahoma enrollment
  • 46 clinicians in this Medicare group
Anesthesiology
5501 N PORTLAND AVE
Oklahoma City, OK 73112
  • Reassigned Medicare billing, Oklahoma enrollment
  • 21 clinicians in this Medicare group
Anesthesiology
3300 NW EXPRESSWAY ST
Oklahoma City, OK 73112
  • Reassigned Medicare billing, Oklahoma enrollment
  • 52 clinicians in this Medicare group
Anesthesiology
3300 NW EXPRESSWAY ST
Oklahoma City, OK 73112
  • Reassigned Medicare billing, Oklahoma enrollment
  • 105 clinicians in this Medicare group
General Practice
1616 S KELLY AVE
Edmond, OK 73013
  • Reassigned Medicare billing, Oklahoma enrollment
  • 82 clinicians in this Medicare group
Anesthesiology
4801 INTEGRIS PKWY
Edmond, OK 73034
  • Reassigned Medicare billing, Oklahoma enrollment
  • 182 clinicians in this Medicare group
Anesthesiology
3029 W MAIN ST
Jenks, OK 74037
  • Reassigned Medicare billing, Oklahoma enrollment
  • 199 clinicians in this Medicare group
Anesthesiology
1375 E 19TH AVE
Denver, CO 80218
  • Reassigned Medicare billing, Colorado enrollment
  • 160 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.

Hospital Affiliations CMS Care Compare 3

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

Integris Baptist Medical Center, Inc

Acute Care Hospitals · Oklahoma City, OK
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370028
Location3300 Northwest ExpresswayOklahoma City, OK 73112 · Oklahoma County
Emergency services Birthing friendly

Community Hospital, LLC

Acute Care Hospitals · Oklahoma City, OK
5/5 CMS rating
OwnershipPhysician
CMS Certification Number370203
Location3100 Southwest 89th StreetOklahoma City, OK 73159 · Oklahoma County
Emergency services

Oklahoma Surgical Hospital, LLC

Acute Care Hospitals · Tulsa, OK
5/5 CMS rating
OwnershipPhysician
CMS Certification Number370210
Location2408 East 81st Street, Suite 300Tulsa, OK 74137 · Tulsa County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73505 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
$123.06 typical visit price
range $53.00 – $162.61
Typical copayment $30.76 (range $13.25 – $40.65)
Most-billed visit code 99204
Established Patient
$66.48 typical visit price
range $16.68 – $132.40
Typical copayment $16.62 (range $4.17 – $33.10)
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 20

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

Pharmacist
3401 W GORE BLVD
LAWTON, OK 73505
Student in an Organized Health Care Education/Training Program
3401 W GORE BLVD
LAWTON, OK 73505
General Practice
3401 W GORE BLVD
LAWTON, OK 73505
Pathology (Anatomic Pathology & Clinical Pathology)
3401 W GORE BLVD
LAWTON, OK 73505
Anesthesiology
3401 W GORE BLVD
LAWTON, OK 73505
Emergency Medicine
3401 W GORE BLVD
LAWTON, OK 73505
Pharmacy (Institutional Pharmacy)
3401 W GORE BLVD
LAWTON, OK 73505
Internal Medicine
3401 W GORE BLVD
LAWTON, OK 73505

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 Jacquelyn Breaux's NPI number?

The NPI number for Jacquelyn Breaux is 1912444555. It was assigned to this individual provider in the NPPES registry on January 20, 2017. The provider is also known as Jacquelyn Drummond.

Where is Jacquelyn Breaux located?

Jacquelyn Breaux practices at 3401 W Gore Blvd, Lawton, OK 73505. The listed phone number is (580) 355-8620.

What is Jacquelyn Breaux's specialty?

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

Is Jacquelyn Breaux enrolled in Medicare?

Yes. Jacquelyn Breaux 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 Jacquelyn Breaux's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacquelyn Breaux reassigns Medicare benefits to 10 organizations: Western Oklahoma Anesthesia Consultants PLLC (Elk City, OK), Anesthesia Specialists Of Oklahoma LLC (Oklahoma City, OK), Deaconess Anesthesia Services LLC (Oklahoma City, OK), Portland Anesthesia Services LLC (Oklahoma City, OK), Anesthesia Medical Professionals Baptist LLC (Oklahoma City, OK) and 5 more organizations, listed in the Medicare section above. 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 Jacquelyn Breaux's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jacquelyn Breaux accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Jacquelyn Breaux 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 Jacquelyn Breaux affiliated with any hospitals?

According to CMS data, Jacquelyn Breaux is affiliated with Integris Baptist Medical Center, Inc, Community Hospital, LLC and Oklahoma Surgical Hospital, LLC.

When was this NPI record last updated?

The NPPES record for Jacquelyn Breaux was last updated on August 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.