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

Madison N Sistrunk

Individual provider Registered Nurse · NPI 1770055279

Madison N Sistrunk is a Certified Registered Nurse Anesthetist (CRNA) in Jackson, Mississippi. Qualified in 2018, 8 years ago. Practices with State of Mississippi - University of Mississippi Medical Center, a 952-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
8
Licensed in
MS
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

2500 N State St
Jackson, MS 39216-4500
Phone: (601) 984-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 960 Avent Dr, Grenada, MS 38901-5230 — (662) 227-7000
  • 2500 N State St, Jackson, MS 39216 — (601) 984-1000

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence NOWE-43CHVU (MS)
Registered Nurse Taxonomy 163W00000X · Licence 897105 (MS)

Record details

NPI number1770055279
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 20, 2018
Last updated in NPPESJune 29, 2021
Certification dateJune 29, 2021
Mailing address2500 N State St, Jackson, MS 39216-4500

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice State Of Mississippi - University Of Mississippi Medical Center — 952 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Jackson