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JEFFERSON REGIONAL ANESTHESIA LLC
NPI 1205301587
Nurse Anesthetist, Certified Registered in Pine Bluff, AR

Active since October 12, 2018
1600 W 40TH AVE, PINE BLUFF, AR 71603(870) 541-7370(870) 541-7665 Get Directions Write a Review

NPPES record last updated: October 12, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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

NPI1205301587
Entity TypeOrganization
Primary Taxonomy367500000X
Legal Business NameJEFFERSON REGIONAL ANESTHESIA LLC
Location Address1600 W 40TH AVEPine Bluff, AR 71603-6301
Mailing Address1600 W 40th AvePine Bluff, AR 71603-6301 · (870) 541-7370 · Fax (870) 541-7665
Phone(870) 541-7370
Fax(870) 541-7665
Organization SubpartNo
Authorized OfficialBryan G JacksonCfo · (870) 541-7370
Enumeration DateOctober 12, 2018
✔ NPI 1205301587 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
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 ListedAnesthesiologyTaxonomy 207L00000X
1600 W 40TH AVE, Pine Bluff, AR 71603
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

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.

MRS. REBEKAH A CROWDER MS, RD, LD, CDE
Dietitian, Registered
1600 W 40TH AVE
PINE BLUFF, AR 71603
Jefferson County (870) 541-3274
DR. MOHANNED HASSAN MOHAMMED AHMED M.D.
Family Medicine
1600 W 40TH AVE
PINE BLUFF, AR 71603
Jefferson County (870) 541-7100
NAZNIN JAMAL MD
Internal Medicine
1600 W 40TH AVE
PINE BLUFF, AR 71603
Jefferson County (870) 541-7100
CHRISTA CHAMBERS
Pharmacist
1600 W 40TH AVE
PINE BLUFF, AR 71603
Jefferson County (870) 541-7902
SHELLY R CAINE RN
Registered Nurse (Maternal Newborn)
1600 W 40TH AVE
PINE BLUFF, AR 71603
Jefferson County (870) 541-7100
VIBHA M PATEL PTA
Physical Therapy Assistant
1600 W 40TH AVE
PINE BLUFF, AR 71603
Jefferson County (870) 541-8776
ASHWINI POTHARAM
Student in an Organized Health Care Education/Training Program
1600 W 40TH AVE
PINE BLUFF, AR 71603
Jefferson County (870) 541-7100
MS. ASHLEIGH RYAN CULCLAGER
Student in an Organized Health Care Education/Training Program
1600 W 40TH AVE
PINE BLUFF, AR 71603
Jefferson County (870) 541-7100

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.

What insurance does Jefferson Regional Anesthesia LLC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 2 other insurers 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 7 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.