JOHN TYLER MCLENDON – Certified Registered Nurse Anesthetist, NPI 1023580693

JOHN TYLER MCLENDON is a healthcare provider. based in Pearl, Mississippi. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold a License No. 122134 (MS). The NPI Number for JOHN TYLER MCLENDON is 1023580693

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
JOHN TYLER MCLENDON
NPI
1023580693
Phone
(601) 946-0156
Address
128 ASBURY SQ
Enumeration Date
20 December 2018
Last Update Date
20 December 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6622277000
Graduation Year
2018 (8 years ago)
PAC ID
1355689605
Group Practice PAC ID
9234279183
Professional Enrollment ID
I20190211003004
Address ID
MS389015230GR960XXDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:7State licenses:1Digital endpointsOther names

763 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in MS

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Provider Addresses for JOHN TYLER MCLENDON

  • 128, Asbury Square, Pearl, Rankin County, Mississippi, 39208, United States

    PEARL, MS 392089362

    Phone: (601) 946-0156

    Type: Mailing

  • Merit Health Central, 1850, Chadwick Drive, Bradie, Jackson, Hinds County, Mississippi, 39204, United States

    JACKSON, MS 392043404

    Phone: (601) 376-1000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $13.

Total Amount is formed as General ($13) + Research ($0) + Ownership ($0) = $13.

Last reported payment date: 2023-08-26 • Largest payer in this snapshot: Pacira Pharmaceuticals Incorporated ($13).

Total Amount

$13

General + Research + Ownership

Payments

1

Total payment records

General Amount

$13

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-08-26

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-02-11

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190211003004ICertified Registered Nurse Anesthetist (Crna)MSTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope1212$0
View full utilization report →

Insurance plans in this area (ZIP 39208)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9234279183View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YAL
Certified Registered Nurse Anesthetist (Crna)TN
Certified Registered Nurse Anesthetist (Crna)MS
-MS
Certified Registered Nurse Anesthetist (Crna)LA
Certified Registered Nurse Anesthetist (Crna)TN
Certified Registered Nurse Anesthetist (Crna)AL
Certified Registered Nurse Anesthetist (Crna)MS
Certified Registered Nurse Anesthetist (Crna)TN
-MS

Reviews

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Frequently asked questions

Does JOHN TYLER MCLENDON share an NPI with anyone else?
NPI numbers are unique to each provider or organization — JOHN TYLER MCLENDON uses 1023580693.
Does CMS list JOHN TYLER MCLENDON as active?
Yes — JOHN TYLER MCLENDON is active in the NPI listing used on this page.
What healthcare role does JOHN TYLER MCLENDON hold?
Scheduling teams often label JOHN TYLER MCLENDON under Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Where is JOHN TYLER MCLENDON based?
JOHN TYLER MCLENDON is tied to Pearl, Mississippi in the data we show; additional addresses may exist on the full record.
Why does JOHN TYLER MCLENDON have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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