INDEPENDENCE ANESTHESIA LLC
NPI 1114524147
Nurse Practitioner in Jonesboro, AR
About Independence Anesthesia Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
INDEPENDENCE ANESTHESIA LLC (NPI 1114524147) is a healthcare organization registered as a nurse practitioner in Jonesboro, Arkansas and active in the NPI registry since October 2020. The organization maintains a secondary practice location in Searcy and lists Steven Stalker, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Independence Anesthesia Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Independence Anesthesia LLC, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (4)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Independence Anesthesia LLC's NPI number?
The NPI number for Independence Anesthesia LLC is 1114524147. It was assigned to this organization in the NPPES registry on October 2, 2020.
Where is Independence Anesthesia LLC located?
Independence Anesthesia LLC is located at 1710 Mayfield Dr, Jonesboro, AR 72401. The listed phone number is (870) 613-8390.
What is Independence Anesthesia LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Independence Anesthesia LLC enrolled in Medicare?
Yes. Independence Anesthesia LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Independence Anesthesia LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Certified Registered Nurse Anesthetist (CRNA), reassign their Medicare billing to Independence Anesthesia LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Independence Anesthesia LLC accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Independence Anesthesia LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Independence Anesthesia LLC was last updated on March 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Independence Anesthesia Llc · NPI 1114524147
Nurse Practitioner organization in Jonesboro, Arkansas. Organization record, active in the CMS NPPES registry since October 2, 2020.
## Identity
- **NPI:** 1114524147 (Entity type: Organization)
- **Enumerated:** October 2, 2020
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **Organization subpart:** No
- **Authorized official:** Steven Stalker, OWNER
## Practice location
- **Address:** 1710 MAYFIELD DR, Jonesboro, AR 72401-4563
- **Phone:** (870) 613-8390
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians (Certified Registered Nurse Anesthetist (CRNA)) reassign Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 7, 2022
- **Other identifiers:** Other CO1386 (AR)
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Source: [NPI Profile](https://npiprofile.com/npi/1114524147) · Data from the CMS NPPES public registry.