JUSTIN SEXTON CRNA
NPI 1972682466
Nurse Anesthetist, Certified Registered in Madison, TN

Active since November 03, 2006PECOS Enrolled
77.32/100
CMS Quality Rating
154 CUDE LN, MADISON, TN 37115(615) 865-6268(615) 868-7378 Get Directions Write a Review

NPPES record last updated: May 7, 2009. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Justin Sexton Crna NPPES

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

JUSTIN SEXTON CRNA (NPI 1972682466) is an individual nurse anesthetist, certified registered in Madison, Tennessee, licensed in Tennessee (72238) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Lake Cumberland Regional Hospital, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1972682466
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameJUSTIN SEXTONCredential: CRNA
Location Address154 CUDE LNMadison, TN 37115-2202
Mailing AddressPo Box 488Madison, TN 37116-0488 · (615) 865-6268 · Fax (615) 868-7378
Fax(615) 868-7378
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateNovember 3, 2006
Last NPPES UpdateMay 7, 2009
✔ NPI 1972682466 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 TN · 72238
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.
154 CUDE LN, Madison, TN 37115

Other Identifiers 2

Medicare ID-Type Unspecified3634007
Medicaid3634007TN

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Justin Sexton Crna is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4880644384
PECOS Enrollment IDI20210111003010
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

5

Medicare enrollment records show Justin Sexton reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anesthesiology
1818 ALBION ST
Nashville, TN 37208
  • Reassigned Medicare billing, Tennessee enrollment
  • 56 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
704 HIGHWAY 70 E
Dickson, TN 37055
  • Reassigned Medicare billing, Tennessee enrollment
  • 58 clinicians in this Medicare group
Gastroenterology
4219 GATEWAY BLVD
Newburgh, IN 47630
  • Reassigned Medicare billing, Indiana enrollment
  • 39 clinicians in this Medicare group
Anesthesiology
305 LANGDON ST
Somerset, KY 42503
  • Reassigned Medicare billing, Kentucky enrollment
  • 88 clinicians in this Medicare group
Anesthesiology
80 NEWNAN STATION DR, SUITE A
Newnan, GA 30265
  • Reassigned Medicare billing, Georgia enrollment
  • 729 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

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

Lake Cumberland Regional Hospital

Acute Care Hospitals · Somerset, KY
2/5 CMS rating
OwnershipProprietary
CMS Certification Number180132
Location305 Langdon StreetSomerset, KY 42503 · Pulaski County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37115 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
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.

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.

77.32/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.32
Improvement Activities40

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.

Anesthesiology
154 CUDE LN
MADISON, TN 37115
Nurse Anesthetist, Certified Registered
154 CUDE LN
MADISON, TN 37115
Durable Medical Equipment & Medical Supplies
154 CUDE LN
MADISON, TN 37115
Nurse Anesthetist, Certified Registered
154 CUDE LN
MADISON, TN 37115
Nurse Anesthetist, Certified Registered
154 CUDE LN
MADISON, TN 37115
Nurse Anesthetist, Certified Registered
154 CUDE LN
MADISON, TN 37115
Nurse Anesthetist, Certified Registered
154 CUDE LN
MADISON, TN 37115
Nurse Anesthetist, Certified Registered
154 CUDE LN
MADISON, TN 37115

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 Justin Sexton's NPI number?

The NPI number for Justin Sexton is 1972682466. It was assigned to this individual provider in the NPPES registry on November 3, 2006.

Where is Justin Sexton located?

Justin Sexton practices at 154 Cude Ln, Madison, TN 37115. The listed phone number is (615) 865-6268.

What is Justin Sexton's specialty?

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

Is Justin Sexton enrolled in Medicare?

Yes. Justin Sexton is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Justin Sexton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Justin Sexton reassigns Medicare benefits to 5 organizations: Physynergy, LLC (Nashville, TN), Integrated Anesthesia Services, Plc (Dickson, TN), Gibson General Hospital, Inc (Newburgh, IN), Capital Anesthesia Solutions Of Kentucky LLC (Somerset, KY) and Sentry Anesthesia Management, LLC (Newnan, GA). 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 Justin Sexton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Justin Sexton accept?

Health plans from CareSource and Cigna Healthcare list Justin Sexton 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 Justin Sexton affiliated with any hospitals?

According to CMS data, Justin Sexton is affiliated with Lake Cumberland Regional Hospital.

When was this NPI record last updated?

The NPPES record for Justin Sexton was last updated on May 7, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.