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

Tony Lee Sistrunk, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1740042589

Tony Lee Sistrunk, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Jackson, Mississippi. Qualified in 2023, 3 years ago. Practices with Anesthesia Consultants PA, a 102-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
3
Licensed in
MS
In the registry since
2024
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

2500 N State St
Jackson, MS 39216-4500
Phone: (601) 815-2005
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 901891 (MS)

Record details

NPI number1740042589
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedJanuary 26, 2024
Last updated in NPPESJanuary 26, 2024
Certification dateJanuary 25, 2024

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2023 (3 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

Other providers in Jackson