JEFFERSON REGIONAL ANESTHESIA LLC
NPI 1205301587
Nurse Anesthetist, Certified Registered in Pine Bluff, AR
About Jefferson Regional Anesthesia Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JEFFERSON REGIONAL ANESTHESIA LLC (NPI 1205301587) is a healthcare organization registered as a nurse anesthetist, certified registered in Pine Bluff, Arkansas and active in the NPI registry since October 2018. The organization lists Bryan G Jackson, Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
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)
Jefferson Regional Anesthesia Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
35Medicare enrollment records show 35 clinicians reassign Medicare billing to Jefferson Regional Anesthesia LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 12 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 2
Nearest to this location (20)
See all 35Source: 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 Jefferson Regional Anesthesia LLC's NPI number?
The NPI number for Jefferson Regional Anesthesia LLC is 1205301587. It was assigned to this organization in the NPPES registry on October 12, 2018.
Where is Jefferson Regional Anesthesia LLC located?
Jefferson Regional Anesthesia LLC is located at 1600 W 40th Ave, Pine Bluff, AR 71603. The listed phone number is (870) 541-7370.
What is Jefferson Regional Anesthesia LLC's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Jefferson Regional Anesthesia LLC enrolled in Medicare?
Yes. Jefferson Regional Anesthesia LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Jefferson Regional Anesthesia LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 35 clinicians in 2 Medicare specialties reassign their Medicare billing to Jefferson Regional 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. The largest specialties are Certified Registered Nurse Anesthetist (CRNA) (33) and Anesthesiology (2). Of these, 1 practice at this address and 12 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Jefferson Regional 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 Jefferson Regional 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 Jefferson Regional Anesthesia LLC was last updated on October 12, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Jefferson Regional Anesthesia Llc · NPI 1205301587
Nurse Anesthetist, Certified Registered organization in Pine Bluff, Arkansas. Organization record, active in the CMS NPPES registry since October 12, 2018.
## Identity
- **NPI:** 1205301587 (Entity type: Organization)
- **Enumerated:** October 12, 2018
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **Organization subpart:** No
- **Authorized official:** Bryan Jackson, CFO
## Practice location
- **Address:** 1600 W 40TH AVE, Pine Bluff, AR 71603-6301
- **Phone:** (870) 541-7370 · **Fax:** (870) 541-7665
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 35 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Certified Registered Nurse Anesthetist (CRNA) (33), Anesthesiology (2); 1 practice at this address and 12 within 10 miles; [full list](https://npiprofile.com/npi/1205301587/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 12, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1205301587) · Data from the CMS NPPES public registry.