P Praxis·MD
● Active Type 1 · Individual

Jenny Idicula

Nurse Anesthetist, Certified Registered·Austin, TX· NPI 1083291637 · Enumerated 2021 · 5 years on NPI
Idicula is 1 of 385 nurse anesthetist, certified registered providers in Austin and 1 of 6676 in Texas.
NPI age
5 years
Enumerated 2021-03-28
Primary specialty
Nurse Anesthetist, Certified Registered
Plus 2 subspecialties
Licensed in
TX, ME
2 states
Status
Active
No deactivations on record
Last NPPES update
2026-02-26
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 6676 active nurse anesthetist, certified registered providers in Texas.

NPI age
5 years
↓ 8 yr below median (13 yr)
State licenses
2 states
Top 84% — 16% of peers are multi-state
Subspecialties
1
In the 35% of peers with subspecialties

NPI lifetime · 2021 → 2026

2021-03Enumerated in NPPES
2021 2026

Where they practice

Practice location
3705 Medical Pkwy Ste 570
Austin, TX 787051024
📞 5124542554
Mailing address
Po Box 840853
Dallas, TX 752840853
📞 9722331999fax 9722333666

Additional practice locations

4 secondary locations on file with NPPES.

Location 2
1 Medical Center Dr
Biddeford, ME 040059422
📞 2072837042fax 2072837047
Location 3
84 Campus Dr
Scarborough, ME 040747133
📞 2073967000
Location 4
25 June St
Sanford, ME 040732621
📞 2074907450fax 2074907452
Location 5
22 Bramhall St
Portland, ME 041023134
📞 2076622526fax 2076626236

Specialties

  • Nurse Anesthetist, Certified Registered Primary
    (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in...
    TX license #1052820ME license #RNA253034 taxonomy 367500000X
  • Registered Nurse
    (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or...
    TX license #860986 taxonomy 163W00000X

Practice context

Part of a multi-provider practice. 124 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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