Individual provider Active NPI

Jacquelyn Breaux, CRNA

  • Certified Registered Nurse Anesthetist
  • Lawton, OK
National Provider Identifier
1912444555
Registry record updated Aug 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
106676 Issued in OK
Practice address
3401 W Gore Blvd
Lawton, OK 73505-6332
Phone
(580) 355-8620
NPI assigned
Jan 20, 2017
Last updated
Aug 28, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2025

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 106676 OK Primary

Addresses

Primary practice location

3401 W Gore Blvd
Lawton, OK 73505-6332

Mailing address

1208 S 19TH St
Chickasha, OK 73018-3812

Other names 1

  • Jacquelyn Drummond Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, CO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170222001295 OK Practitioner - Certified Registered Nurse Anesthetist (Crna) 9436433224 Reassigns benefits to 7 organizations
I20251106002002 CO Practitioner - Certified Registered Nurse Anesthetist (Crna) 9436433224 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospitalist Medicine Physicians of Colorado - Denver PCGroup PAC ID 3577073402, 90 clinicians
Hpi Physicians LLCGroup PAC ID 6406048289, 48 clinicians
Integral Anesthesia LLCGroup PAC ID 9638461973, 159 clinicians
Deaconess Anesthesia Services, LLCGroup PAC ID 0042587842, 21 clinicians
Portland Anesthesia Services LLCGroup PAC ID 8224512512, 21 clinicians

Practice addresses (Care Compare)

1375 E 19TH Ave
Saint Joseph Hospital
Denver, CO 80218-1114
Phone (303) 812-6400

14024 Quail Pointe Dr
Oklahoma City, OK 73134-1006
Phone (405) 242-2713

1923 S Utica Ave
Tulsa, OK 74104-6520
Phone (919) 744-3131

5501 N Portland Ave
Oklahoma City, OK 73112-2074
Phone (405) 604-6000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
106676OKMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Hpi Physicians LLC CurrentSince Dec 31, 2020 Accepting new patients
Hospitalist Medicine Physicians of Colorado - Denver PC Nurse Anesthetist, Certified Registered CurrentSince Sep 5, 2025 Accepting new patients
Anesthesia Specialists of Oklahoma LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 8, 2026 Accepting new patients
Western Oklahoma Anesthesia Consultants PLLC CurrentSince Jul 1, 2022 Accepting new patients
Deaconess Anesthesia Services LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2017 Accepting new patients
Anesthesia Medical Professionals, PLLC CurrentSince Dec 1, 2022 Accepting new patients

Locations

1375 E 19th Ave
Denver, CO 80218
Phone (303) 812-2000

1705 Renaissance Blvd
Ste 120
Edmond, OK 73013
Phone (405) 715-4496

4801 Integris Pkwy
Edmond, OK 73034
Phone (405) 657-3000

1801 W 3rd St
Elk City, OK 73644
Phone 40584358551407

14024 Quail Pointe Dr
Oklahoma City, OK 73134
Phone (405) 419-8447

3100 SW 89th St
Oklahoma City, OK 73159
Phone (405) 602-8100

3300 NW Expressway St
Oklahoma City, OK 73112
Phone (405) 251-2815

3300 NW Expressway St
Fl 2
Oklahoma City, OK 73112
Phone (405) 251-2815

4401 S Western Ave
Oklahoma City, OK 73109
Phone (405) 636-7000

5501 N Portland Ave
Oklahoma City, OK 73112
Phone (405) 604-6000

3701 E Main St
Weatherford, OK 73096
Phone (580) 772-5551

900 17th St
Woodward, OK 73801
Phone (405) 610-4411

Organizations & group practices 9

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.

Hospital & facility affiliations 10

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": "1484870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756339200000",
    "number": "1912444555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1208 S 19TH ST",
            "city": "CHICKASHA",
            "state": "OK",
            "postal_code": "730183812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 W GORE BLVD",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735056332",
            "telephone_number": "580-355-8620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREAUX",
        "first_name": "JACQUELYN",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-20",
        "last_updated": "2025-08-28",
        "certification_date": "2025-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OK",
            "license": "106676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACQUELYN",
            "last_name": "DRUMMOND",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lawton, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2025; 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.