DR. JESSICA HAILEY STATZ DO
NPI 1215083993
Anesthesiology in Springdale, AR
About Dr. Jessica Hailey Statz Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JESSICA HAILEY STATZ DO (NPI 1215083993) is an individual anesthesiology provider in Springdale, Arkansas, licensed in Arkansas (E-13712) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS, is affiliated with Ascension St John Medical Center, and maintains 3 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Secondary Practice Locations 3
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Jessica Hailey Statz Do 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.
Medicare Billing Reassignments
3Medicare enrollment records show Jessica Statz reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Jenks, OK 74037
- Reassigned Medicare billing, Oklahoma enrollment
- 199 clinicians in this Medicare group
Sedalia, CO 80135
- Reassigned Medicare billing, Colorado enrollment
- 79 clinicians in this Medicare group
Boulder, CO 80303
- Reassigned Medicare billing, Colorado enrollment
- 93 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Ascension St John Medical Center
Acute Care Hospitals · Tulsa, OKOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SPRINGDALE, AR 72764
SPRINGDALE, AR 72764
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 Jessica Statz's NPI number?
The NPI number for Jessica Statz is 1215083993. It was assigned to this individual provider in the NPPES registry on January 26, 2007. The provider is also known as Jessica Wynne Statz.
Where is Jessica Statz located?
Jessica Statz practices at 609 W Maple Ave, Springdale, AR 72764. The listed phone number is (479) 751-3722.
What is Jessica Statz's specialty?
The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.
Is Jessica Statz enrolled in Medicare?
Yes. Jessica Statz 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.
Which organizations bill Medicare for Jessica Statz's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Statz reassigns Medicare benefits to 3 organizations: Integral Anesthesia, LLC (Jenks, OK), Diehl Anesthesia Inc (Sedalia, CO) and Boulder Valley Anesthesiology, PLLC (Boulder, CO). Each 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 Jessica Statz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Jessica Statz affiliated with any hospitals?
According to CMS data, Jessica Statz is affiliated with Ascension St John Medical Center.
When was this NPI record last updated?
The NPPES record for Jessica Statz was last updated on March 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Dr. Jessica Hailey Statz, DO · NPI 1215083993
Anesthesiology physician in Springdale, Arkansas. Individual provider, active in the CMS NPPES registry since January 26, 2007.
## Identity
- **NPI:** 1215083993 (Entity type: Individual)
- **Enumerated:** January 26, 2007
- **Primary specialty:** Anesthesiology · taxonomy 207L00000X
- **State license:** E-13712 (Arkansas)
- **Sole proprietor:** No
## Practice location
- **Address:** 609 W MAPLE AVE, Springdale, AR 72764-5335
- **Phone:** (479) 751-3722 · **Fax:** (479) 751-1099
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Integral Anesthesia, LLC (NPI 1881041515, Jenks, OK); Diehl Anesthesia Inc (NPI 1467833897, Sedalia, CO); Boulder Valley Anesthesiology, PLLC (NPI 1962431668, Boulder, CO) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2004
## Record status
- **NPPES last updated:** March 6, 2023
- **Other identifiers:** Medicaid 9000165743 (CO)
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Source: [NPI Profile](https://npiprofile.com/npi/1215083993) · Data from the CMS NPPES public registry.