Individual provider Active NPI

Derek Mitchum Lebron-Frank, CRNA

  • Certified Registered Nurse Anesthetist
  • San Diego, CA
National Provider Identifier
1710654074
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
95002785 Issued in CA
Practice address
200 W Arbor Dr
San Diego, CA 92103-9000
Phone
(800) 926-8273
Fax
(888) 539-8781
NPI assigned
Aug 25, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 95002785 CA Primary
Certified Registered Nurse Anesthetist 367500000X 1068499 TX
Certified Registered Nurse Anesthetist 367500000X GAA-CRNA003379 GA

Addresses

Primary practice location

200 W Arbor Dr
San Diego, CA 92103-9000

Mailing address

File 57326
Los Angeles, CA 90074-7326
Phone (800) 926-8273

Other practice location 1

6655 Alvarado Rd
San Diego, CA 92120-5208
Phone (800) 926-8273

Other practice location 2

18511 Highlander Medics Street
Wbamc
Fort Bliss, TX 79918
Phone (915) 569-3213

Other practice location 3

9300 Campus Point Dr
LA Jolla, CA 92037-1300
Phone (800) 926-8273

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OK, NE, GA4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20220804003874 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 5193107217 Reassigns benefits to 1 organization
I20240802000512 OK Practitioner - Certified Registered Nurse Anesthetist (Crna) 5193107217
I20240816003790 NE Practitioner - Certified Registered Nurse Anesthetist (Crna) 5193107217 Reassigns benefits to 3 organizations
I20250409001254 GA Practitioner - Certified Registered Nurse Anesthetist (Crna) 5193107217 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Baylor College of Medicine, 2021
Medicare assignment
May accept Medicare assignment
Group practices
Cheyenne County Hospital Association IncGroup PAC ID 1658345657, 48 clinicians
Wellstar Medical Group LLCGroup PAC ID 6709065402, 3,059 clinicians
Anesthesia Consultants of Augusta LLCGroup PAC ID 6204905763, 79 clinicians

Practice addresses (Care Compare)

1000 Pole Creek Xing
Sidney, NE 69162-2901
Phone (308) 254-5825

1120 15TH St
Augusta, GA 30912-0004
Phone (706) 721-8623

3651 Wheeler Rd
Augusta, GA 30909-6521
Phone (706) 855-9860

5150 Stilesboro N W Rd
Suite 220
Kennesaw, GA 30152-7742
Phone (770) 424-8222

989 Saint Sebastian Way
Augusta, GA 30912-0004
Phone (706) 721-2171

Hospital & facility affiliations

  • Wellstar MCG Health, Affiliated With Med Col Hospital, Augusta, GA, CCN 110034
  • Doctors Hospital Hospital, Augusta, GA, CCN 110177
  • Sidney Regional Medical Center Hospital, Sidney, NE, CCN 281357

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
GAA-CRNA003379GAMDCertified Registered Nurse Anesthetist
133873TXMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Wellstar Medical Group, LLC Single Specialty CurrentSince Apr 1, 2025 Accepting new patients
Northstar Anesthesia of Nebraska LLC Single Specialty CurrentSince Jan 1, 2025 Accepting new patients
Wellstar Medical Group, LLC Single Specialty Current Accepting new patients
Cheyenne County Hospital Association Inc Single Specialty CurrentSince Aug 12, 2024 Accepting new patients
Texas Ams PLLC Single Specialty CurrentSince Jul 15, 2022 Accepting new patients
Prosser Public Hospital District of Benton County Single Specialty Current Accepting new patients
Cheyenne County Hospital Association CurrentSince Aug 12, 2024 Accepting new patients

Locations

3651 Wheeler Rd
Augusta, GA 30909
Phone (706) 651-3232

5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222

4021 Avenue B
Scottsbluff, NE 69361
Phone (308) 630-1384

1000 Pole Creek Xing
Sidney, NE 69162
Phone (308) 254-5825

7835 Corral Dr
El Paso, TX 79915
Phone (915) 533-8412

1815 N Stanton St
El Paso, TX 79902
Phone (915) 533-8412

125 W Castellano Dr
El Paso, TX 79912
Phone (915) 532-8200

200 Prosser Health Dr
Prosser, WA 99350
Phone (509) 786-2222

Organizations & group practices 8

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

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1629849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786406400000",
    "number": "1710654074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "FILE 57326",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900747326",
            "telephone_number": "800-926-8273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W ARBOR DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921039000",
            "telephone_number": "800-926-8273",
            "fax_number": "888-539-8781"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6655 Alvarado Rd",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921205208",
            "country_code": "US",
            "telephone_number": "800-926-8273",
            "fax_number": "888-539-8781",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18511 Highlander Medics Street",
            "address_2": "WBAMC",
            "address_purpose": "LOCATION",
            "city": "Fort Bliss",
            "state": "TX",
            "postal_code": "79918",
            "country_code": "US",
            "telephone_number": "915-569-3213",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9300 Campus Point Dr",
            "address_purpose": "LOCATION",
            "city": "LA Jolla",
            "state": "CA",
            "postal_code": "920371300",
            "country_code": "US",
            "telephone_number": "800-926-8273",
            "fax_number": "888-539-8781",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEBRON-FRANK",
        "first_name": "DEREK",
        "middle_name": "MITCHUM",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-25",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "95002785",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "1068499",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "GAA-CRNA003379",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.