PAMELA J AUSTIN (CRNA) – Certified Registered Nurse Anesthetist, NPI 1063408797

PAMELA J AUSTIN (CRNA) is a healthcare provider. based in Jackson, Tennessee. specializing in Certified Registered Nurse Anesthetist. They hold the professional credentials CRNA. They hold a License No. 8877 (TN). The NPI Number for PAMELA J AUSTIN (CRNA) is 1063408797

Main info

Female
40 Years Of Experience
Accepts Medicare Assignment
Name
PAMELA J AUSTIN (CRNA)
NPI
1063408797
Phone
(731) 668-1853
Address
810 W FOREST AVE
Enumeration Date
27 September 2005
Last Update Date
14 February 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7315415000
Graduation Year
1986 (40 years ago)
PAC ID
5698732949
Group Practice PAC ID
2769629187
Professional Enrollment ID
I20041217000620
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for PAMELA J AUSTIN (CRNA)

  • 810, West Forest Avenue, Hicksville, Jackson, Madison County, West Tennessee, Tennessee, 38301, United States

    JACKSON, TN 383013942

    Phone: (731) 668-1853

    Fax: (731) 664-7731

    Mailing address matches the actual address.

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: 2023-01-27 • Largest payer in this snapshot: Draeger Medical Systems, Inc ($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

2023-01-27

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: 2004-12-17

PECOS data refreshed: 2026-05-27

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
I20041217000620ICertified Registered Nurse Anesthetist (Crna)TNTBD

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
00142Anesthesia for lens surgery11098$0
View full utilization report →

Insurance plans in this area (ZIP 38301)

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Provider's Procedures

PAMELA J AUSTIN (CRNA) performs procedures in Certified Registered Nurse Anesthetist. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CERTIFIED REGISTERED NURSE ANESTHETTN00142Anesthesia for lens surgery2626

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: 2769629187View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)TN
Certified Registered Nurse Anesthetist (Crna)AL
-TN
A N E S T H E S I O L O G YTN
Pain Management, AnesthesiologyTN
Certified Registered Nurse Anesthetist (Crna)TN
Certified Registered Nurse Anesthetist (Crna)TN
-TN
Certified Registered Nurse Anesthetist (Crna)TN
Certified Registered Nurse Anesthetist (Crna)TN

Reviews

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Frequently asked questions

How do payers reference PAMELA J AUSTIN (CRNA)?
For PAMELA J AUSTIN (CRNA), use NPI 1063408797 as the unique 10-digit identifier.
Is PAMELA J AUSTIN (CRNA) shown as active in public data?
Registry records indicate PAMELA J AUSTIN (CRNA) maintains an active NPI.
How would a patient describe PAMELA J AUSTIN (CRNA)'s focus?
For PAMELA J AUSTIN (CRNA), the primary taxonomy reads as Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What locale is associated with PAMELA J AUSTIN (CRNA)?
Directory geography for PAMELA J AUSTIN (CRNA) centers on Jackson, Tennessee.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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