MR. JOHN ROBERT WYATT JR. CRNA
NPI 1205106523
Nurse Anesthetist, Certified Registered in Paragould, AR

Active since January 03, 2012Accepts Medicare Assignment
900 W KINGSHIGHWAY, PARAGOULD, AR 72450(870) 239-7000 Get Directions Write a Review

NPPES record last updated: October 2, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 2, 2024, Jun 15, 2018 (2 updates tracked since 2018).

About Mr. John Robert Wyatt Jr. Crna NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JOHN ROBERT WYATT JR. CRNA (NPI 1205106523) is an individual nurse anesthetist, certified registered in Paragould, Arkansas, licensed in Arkansas (C002963) and active in the NPI registry since January 2012. He is affiliated with Poplar Bluff Regional Medical Center, maintains a secondary practice location in Memphis, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1205106523
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameMR. JOHN ROBERT WYATT JR.Credential: CRNA
Location Address900 W KINGSHIGHWAYParagould, AR 72450
Mailing Address3 Lukas CvParagould, AR 72450-7567
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJanuary 3, 2012
Last NPPES UpdateOctober 2, 20242 updates tracked since enumeration
NPPES CertifiedOctober 2, 2024
NPI 1205106523 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
Licenses Licensed in AR · C002963 Licensed in MO · 2024036785 Licensed in MS · 810543 Licensed in TN · 16514
Definition
(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 management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Also ListedRegistered NurseTaxonomy 163W00000X · License R077091 (AR)
900 W KINGSHIGHWAY, Paragould, AR 72450

Secondary Practice Location 1

Location 11755 Kirby Pkwy Ste 330Memphis, TN 38120-4398 · Phone (901) 725-5846

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mr. John Robert Wyatt Jr. Crna is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5597925552
PECOS Enrollment IDI20241112003377

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
12 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Poplar Bluff Regional Medical Center

Acute Care Hospitals · Poplar Bluff, MO
2/5 CMS rating
OwnershipProprietary
CMS Certification Number260119
Location3100 Oak Grove RoadPoplar Bluff, MO 63901 · Butler County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72450 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$119.36 typical visit price
range $51.36 – $157.74
Typical copayment $29.84 (range $12.84 – $39.43)
Most-billed visit code 99204
Established Patient
$64.56 typical visit price
range $16.16 – $128.77
Typical copayment $16.14 (range $4.04 – $32.19)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
900 W KINGSHIGHWAY
PARAGOULD, AR 72450
Hospitalist
900 W KINGSHIGHWAY
PARAGOULD, AR 72450
Nurse Practitioner (Acute Care)
900 W KINGSHIGHWAY
PARAGOULD, AR 72450
Radiology (Diagnostic Radiology)
900 W KINGSHIGHWAY
PARAGOULD, AR 72450
Nurse Practitioner (Acute Care)
900 W KINGSHIGHWAY
PARAGOULD, AR 72450
Nurse Practitioner (Family)
900 W KINGSHIGHWAY
PARAGOULD, AR 72450
Physical Therapy Assistant
900 W KINGSHIGHWAY
PARAGOULD, AR 72450
Home Health
900 W KINGSHIGHWAY
PARAGOULD, AR 72450

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 John Wyatt's NPI number?

The NPI number for John Wyatt is 1205106523. It was assigned to this individual provider in the NPPES registry on January 3, 2012.

Where is John Wyatt located?

John Wyatt practices at 900 W Kingshighway, Paragould, AR 72450. The listed phone number is (870) 239-7000.

What is John Wyatt's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is John Wyatt enrolled in Medicare?

Yes. John Wyatt is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is John Wyatt affiliated with any hospitals?

According to CMS data, John Wyatt is affiliated with Poplar Bluff Regional Medical Center.

When was this NPI record last updated?

The NPPES record for John Wyatt was last updated on October 2, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.