Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dustin K Wixson, CRNA

Individual provider Anesthesiology Physician · NPI 1114022209

Dustin K Wixson, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Little Rock, Arkansas. Qualified in 2004, 22 years ago. Practices with White River Health System, Inc, a 186-clinician group and accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
22
Licensed in
AR
In the registry since
2006
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

9601 Interstate 630 Exit 7
Little Rock, AR 72205-7202
Phone: (501) 202-2093
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence C01501 (AR)

Record details

NPI number1114022209
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedSeptember 13, 2006
Last updated in NPPESMay 16, 2008

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice White River Health System, Inc. — 186 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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