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

Individual provider Certified Registered Nurse Anesthetist · NPI 1578748455

Mark J Sistrunk, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Jackson, Mississippi. Qualified in 2007, 19 years ago. Practices with Anesthesia Consultants PA, a 102-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
19
Licensed in
MS
In the registry since
2008
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

971 Lakeland Dr Ste 202
Jackson, MS 39216-4643
Phone: (601) 362-1990
Fax: (601) 362-1988
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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 R857282 (MS)

Record details

NPI number1578748455
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedJanuary 9, 2008
Last updated in NPPESJanuary 9, 2008

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Anesthesia Consultants Pa — 102 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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