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

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