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

Mark Sistoso

Individual provider Certified Registered Nurse Anesthetist · NPI 1720407752

Mark Sistoso is a Certified Registered Nurse Anesthetist (CRNA) in Fort Sill, Oklahoma. Qualified in 2013, 13 years ago. Practices with Renew Medical Group of Arkansas Ltd, a 127-clinician group and accepts Medicare assignment. Licensed in Arkansas and Washington.

Years since qualifying
13
Licensed in
AR, WA
In the registry since
2014
Specialties on file
2

Practice location Address checks out

4301 Wilson St
Fort Sill, OK 73503-4472
Phone: (719) 205-0017
Show map & directions

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

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence AP60451158 (WA)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence C003258 (AR)

Record details

NPI number1720407752
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 7, 2014
Last updated in NPPESSeptember 19, 2018

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Renew Medical Group Of Arkansas Ltd — 127 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Fort Sill