Individual provider Active NPI

Debra Ann Oswalt, CRNA

  • Certified Registered Nurse Anesthetist
  • Southaven, MS
National Provider Identifier
1891725057
Registry record updated Mar 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
R726958 Issued in MS
Practice address
7535 Airways Blvd
Southaven, MS 38671-5834
Phone
(662) 349-7766
NPI assigned
Jul 4, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2011

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 R726958 MS Primary

Addresses

Primary practice location

7535 Airways Blvd
Southaven, MS 38671-5834

Mailing address

4890 Delbridge CT E
4890 Delbridge Court East
Olive Branch, MS 38654-5016
Phone (662) 544-5102

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, TN, CA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20040608000870 MS Practitioner - Certified Registered Nurse Anesthetist (Crna) 0941283360 Reassigns benefits to 4 organizations
I20200414001804 TN Practitioner - Certified Registered Nurse Anesthetist (Crna) 0941283360 Reassigns benefits to 2 organizations
I20240307003870 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 0941283360 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
University of Tennessee, HSC, College of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Excelle Anesthesia Services IncGroup PAC ID 4688046774, 41 clinicians
Ut Regional One Physicians IncGroup PAC ID 5698993418, 314 clinicians

Practice addresses (Care Compare)

2215 Truxtun Ave
Bakersfield, CA 93301-3602
Phone (661) 632-5504

877 Jefferson Ave
Memphis, TN 38103-2807
Phone (901) 545-8336

Hospital & facility affiliations

  • Mercy Hospital Hospital, Bakersfield, CA, CCN 050295
  • Regional One Health Hospital, Memphis, TN, CCN 440152

Merit-based Incentive Payment System (MIPS)

Final score
80.97 of 100Reported as group
Quality
64.58
Improvement activities
40
Cost
77.33

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R726958MSMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Excelle Anesthesia Services, Inc. CurrentSince Feb 1, 2023 Accepting new patients
Lifelinc Anesthesia, PLLC Nurse Anesthetist, Certified Registered CurrentSince Mar 9, 2022 Accepting new patients
Ut Regional One Physicians Inc Nurse Anesthetist, Certified Registered Current Accepting new patients
Ut Regional One Physicians Inc Nurse Anesthetist, Certified Registered CurrentSince Apr 13, 2020 Accepting new patients
American Anesthesiology of Mississippi LLC CurrentSince Apr 10, 2024 Accepting new patients
Midsouth Speciality Anesthesia Services LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 2, 2023 Accepting new patients
Anesthesia Consultants PA Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

2215 Truxtun Ave
Bakersfield, CA 93301
Phone (661) 477-9283

634 Leigh Dr
Columbus, MS 39705
Phone (601) 978-3393

1710 W 12th St
Laurel, MS 39440
Phone (601) 369-2021

1001 14th St
Meridian, MS 39301
Phone (601) 482-9224

1100 Belk Blvd
Oxford, MS 38655
Phone (662) 636-1000

403 Getwell Dr
Senatobia, MS 38668
Phone (662) 301-2130

9140 Highway 51 N
Southaven, MS 38671
Phone (662) 280-8222

7601 Southcrest Pkwy
Southaven, MS 38671
Phone (662) 349-4000

1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796

1355 W Brierbrook Rd
Germantown, TN 38138
Phone (901) 755-8300

1750 Madison Ave
Ste 300
Memphis, TN 38104
Phone (901) 725-7025

877 Jefferson Ave
Memphis, TN 38103
Phone (901) 448-5893

1265 Union Ave
Ste 201
Memphis, TN 38104
Phone (901) 516-7000

3301 S 14th St
Ste 16180
Abilene, TX 79605

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 2

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": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300838400000",
    "number": "1891725057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4890 DELBRIDGE CT E",
            "address_2": "4890 DELBRIDGE COURT EAST",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386545016",
            "telephone_number": "662-544-5102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7535 AIRWAYS BLVD",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386715834",
            "telephone_number": "662-349-7766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSWALT",
        "first_name": "DEBRA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-04",
        "last_updated": "2011-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MS",
            "license": "R726958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southaven, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2011; 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.