NPIMap

Individual provider Active NPI

Debra S Mistler, CRNA

  • Certified Registered Nurse Anesthetist
  • Murfreesboro, TN
National Provider Identifier
1326024282
Registry record updated Jul 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
08880 Issued in TN
Practice address
1272 Garrison Dr
Murfreesboro, TN 37129-2598
Phone
(615) 893-4480
Fax
(615) 297-2888
NPI assigned
Dec 21, 2005
Last updated
Jul 21, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 08880 TN Primary

Addresses

Primary practice location

1272 Garrison Dr
Murfreesboro, TN 37129-2598

Mailing address

1272 Garrison Dr
Murfreesboro, TN 37129-2598
Phone (615) 893-4480

Other identifiers 1

IdentifierTypeStateIssuer
3626250MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070904000687 TN Practitioner - Certified Registered Nurse Anesthetist (Crna) 5092808204 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
8880TNMDGastroenterology Physician
40362TNMDHospitalist Physician
08880TNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Stage Two Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2021 Accepting new patients
Sunrise Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 24, 2023 Accepting new patients
Eye Center of Nashville Uap, LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2021 Accepting new patients
Ddec Anesthesia, LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2016 Accepting new patients
Murfreesboro Medical Clinic, P.a. Current Accepting new patients
Nashville Gastrointestinal Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2015 Accepting new patients
Vanderbilt University Medical Center Past Accepting new patients
Nashville Anesthesia PLLC Nurse Anesthetist, Certified Registered PastSince May 7, 2023 Accepting new patients
Digestive Disease Endoscopy Center Inc. Past Accepting new patients
Cardiovascular Anesthesiologists PC Nurse Anesthetist, Certified Registered PastSince Oct 29, 2023 Accepting new patients

Locations

400 10th St E
Waconia, MN 55387

1272 Garrison Dr
Murfreesboro, TN 37129
Phone (615) 867-7925

2010 Church St
Ste 420
Nashville, TN 37203
Phone (615) 329-2141

222 22nd Ave N
Ste 300
Nashville, TN 37203
Phone (615) 340-4629

310 25th Ave N
Ste 105
Nashville, TN 37203
Phone (615) 329-9023

330 Wallace Rd
Ste 103
Nashville, TN 37211
Phone (615) 832-5530

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1135123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437436800000",
    "number": "1326024282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1272 GARRISON DR",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371292598",
            "telephone_number": "615-893-4480",
            "fax_number": "615-297-2888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1272 GARRISON DR",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371292598",
            "telephone_number": "615-893-4480",
            "fax_number": "615-297-2888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISTLER",
        "first_name": "DEBRA",
        "middle_name": "S",
        "name_prefix": "Ms.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-21",
        "last_updated": "2015-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "08880",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3626250",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Murfreesboro, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.