JACQUELYN BREAUX (CRNA) – Certified Registered Nurse Anesthetist, NPI 1912444555
Certified Registered Nurse Anesthetist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
669 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in OK
Provider Addresses for JACQUELYN BREAUX (CRNA)
3401 W GORE BLVD
LAWTON, OK 735056332
Phone: (580) 355-8620
Type: Location
1208, South 19th Street, Chickasha, Grady County, Oklahoma, 73018, United States
CHICKASHA, OK 730183812
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $35.
Total Amount is formed as General ($35) + Research ($0) + Ownership ($0) = $35.
Last reported payment date: 2023-11-01 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($35).
Total Amount
$35
General + Research + Ownership
Payments
2
Total payment records
General Amount
$35
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-11-01
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Merck Sharp & Dohme LLC | $35 |
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: 2025-11-06
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170222001295 | I | Certified Registered Nurse Anesthetist (Crna) | OK | TBD |
| I20251106002002 | I | Certified Registered Nurse Anesthetist (Crna) | CO | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 00910 | Anesthesia for other procedure on urinary system through urethra | 22 | 22 | $0 |
| 00902 | Anesthesia for procedure on anus and rectum | 11 | 11 | $0 |
Insurance plans in this area (ZIP 73505)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | OK | |
| Certified Registered Nurse Anesthetist (Crna) | OK | |
| - | OK | |
| - | OK | |
| Certified Registered Nurse Anesthetist (Crna) | MO | |
| Anesthesiology, Pain Management | OK | |
| Hand Surgery, General Surgery | OK | |
| Certified Registered Nurse Anesthetist (Crna) | OK | |
| Certified Registered Nurse Anesthetist (Crna) | OK | |
| Internal Medicine, Gastroenterology | OK |
Reviews
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