JONATHAN REDIC CRNA
NPI 1265940878
Nurse Anesthetist, Certified Registered in Little Rock, AR
About Jonathan Redic Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JONATHAN REDIC CRNA (NPI 1265940878) is an individual nurse anesthetist, certified registered in Little Rock, Arkansas, licensed in Arkansas (C003222) and active in the NPI registry since January 2018. He is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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
Jonathan Redic 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.
Medicare Billing Reassignments
4Medicare enrollment records show Jonathan Redic reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Little Rock, AR 72205
- Reassigned Medicare billing, Arkansas enrollment
- 288 clinicians in this Medicare group
Little Rock, AR 72205
- Reassigned Medicare billing, Arkansas enrollment
- 123 clinicians in this Medicare group
Pine Bluff, AR 71603
- Reassigned Medicare billing, Arkansas enrollment
- 6 clinicians in this Medicare group
Mountain Home, AR 72653
- Reassigned Medicare billing, Arkansas enrollment
- 88 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.
Areas of Expertise CMS Part B claims 3
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 72205 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
LITTLE ROCK, AR 72205
LITTLE ROCK, AR 72205
LITTLE ROCK, AR 72205
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 Jonathan Redic's NPI number?
The NPI number for Jonathan Redic is 1265940878. It was assigned to this individual provider in the NPPES registry on January 17, 2018.
Where is Jonathan Redic located?
Jonathan Redic practices at 2 Saint Vincent Cir, Little Rock, AR 72205. The listed phone number is (501) 664-4532.
What is Jonathan Redic's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Jonathan Redic enrolled in Medicare?
Yes. Jonathan Redic 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 Jonathan Redic's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jonathan Redic reassigns Medicare benefits to 4 organizations: St. Vincent Medical Group (Little Rock, AR), Southern Regional Anesthesiology Consultants PLLC (Little Rock, AR), Etherco Anesthesia PLLC (Pine Bluff, AR) and Baxter County Regional Hospital Inc (Mountain Home, AR). 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 Jonathan Redic's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jonathan Redic accept?
Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage and Octave list Jonathan Redic 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 Jonathan Redic was last updated on April 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Jonathan Redic, CRNA · NPI 1265940878
Nurse Anesthetist, Certified Registered physician in Little Rock, Arkansas. Individual provider, active in the CMS NPPES registry since January 17, 2018.
## Identity
- **NPI:** 1265940878 (Entity type: Individual)
- **Enumerated:** January 17, 2018
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** C003222 (Arkansas)
- **Sole proprietor:** No
## Practice location
- **Address:** 2 SAINT VINCENT CIR, Little Rock, AR 72205-5423
- **Phone:** (501) 664-4532
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): St. Vincent Medical Group (NPI 1134176480, Little Rock, AR); Southern Regional Anesthesiology Consultants PLLC (NPI 1902231673, Little Rock, AR); Etherco Anesthesia PLLC (NPI 1922838523, Pine Bluff, AR); Baxter County Regional Hospital Inc (NPI 1114178753, Mountain Home, AR) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** April 13, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1265940878) · Data from the CMS NPPES public registry.