JENNIFER ELIZABETH VICKNAIR CRNA
NPI 1306861398
Nurse Anesthetist, Certified Registered in Monticello, AR

Q: What is Jennifer Vicknair's NPI number?

The NPI number for Jennifer Vicknair is 1306861398. It was assigned to this individual provider in the NPPES registry on July 12, 2006.

Q: What is Jennifer Vicknair's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jennifer Vicknair was last updated on January 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since July 12, 2006Accepts Medicare Assignment

778 SCOGIN DR, MONTICELLO, AR 71655(870) 367-2411 Get Directions Write a Review

NPPES record last updated: January 6, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 6, 2024, Dec 1, 2022 (2 updates tracked since 2022).

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About Jennifer Elizabeth Vicknair Crna NPPES

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

JENNIFER ELIZABETH VICKNAIR CRNA (NPI 1306861398) is an individual nurse anesthetist, certified registered in Monticello, Arkansas, licensed in Louisiana (AP04334) and active in the NPI registry since July 2006. She is affiliated with Willis Knighton Medical Center and is a graduate of Other (2003).

NPPES Registry Identity

NPI1306861398

Entity TypeIndividualFemale

Primary Taxonomy367500000X

Provider Legal NameJENNIFER ELIZABETH VICKNAIRCredential: CRNA

Location Address778 SCOGIN DRMonticello, AR 71655-5729

Mailing Address443 Fiddlers Creek DrWest Monroe, LA 71291-1774 · (318) 381-2130

Phone(870) 367-2411

Sole ProprietorNo

Medical School CMSOtherGraduated 2003

Enumeration DateJuly 12, 2006

Last NPPES UpdateJanuary 6, 20242 updates tracked since enumeration

NPPES CertifiedJanuary 6, 2024

✔ NPI 1306861398 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 LA · AP04334✔ Licensed in AR · C003168

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 RN087113 (LA)

778 SCOGIN DR, Monticello, AR 71655

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Other Identifiers 1

Medicaid1179272LA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Arkansas Blue Cross and Blue Shield, Health Advantage, HMO Louisiana and more.Insurance ›

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

Jennifer Elizabeth Vicknair 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 ID547155038

PECOS Enrollment IDI20160113000456, I20231129001712

Areas of Expertise CMS Part B claims 5

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 large bowel using an endoscope 00811

Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.

30 services30 patients

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.

27 services27 patients

Anesthesia for procedure on small and large bowel using an endoscope 00813

Anesthesia for an endoscopic procedure on the small and large bowel ensures comfort and relaxation during the procedure. It involves administering medicine to help you sleep or feel drowsy. This allows the doctor to examine your bowels without causing you discomfort or pain.

23 services23 patients

Anesthesia for lens surgery 00142

Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.

15 services13 patients

Anesthesia for exam of colon using an endoscope 00812

Anesthesia for a colon examination with an endoscope is a method used to ensure comfort during the procedure. It involves administering medication to help you relax or sleep, thus reducing discomfort as the endoscope, a thin, flexible tube, is navigated through your colon.

15 services15 patients

Hospital Affiliations CMS Care Compare

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

Willis Knighton Medical Center

Acute Care Hospitals · Shreveport, LA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number190111

Location2600 Greenwood RoadShreveport, LA 71103 · Caddo County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 71655 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.

DREW MEMORIAL HOSPITAL, INC.

General Acute Care Hospital