Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Brien M Macon, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1396460481

Brien M Macon, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Tyler, Texas. Qualified in 2021, 5 years ago. Practices with Northstar Anesthesia III PA, a 399-clinician group and accepts Medicare assignment. Licensed in Texas and Wisconsin.

Years since qualifying
5
Licensed in
TX, WI
In the registry since
2022
Specialties on file
2
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

1000 S Beckham Ave
Tyler, TX 75701-1908
Phone: (903) 531-8890
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 98754 (WI)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 1096163 (TX)

Record details

NPI number1396460481
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorYes
NPI enumeratedOctober 11, 2022
Last updated in NPPESMarch 30, 2026
Certification dateMarch 30, 2026
Mailing address6225 N State Highway 161 Ste 200, Irving, TX 75038-2241

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Northstar Anesthesia Iii Pa — 399 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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