MR. JUSTIN SLADE BRIDWELL CRNA
NPI 1407814924
Nurse Anesthetist, Certified Registered in Rogers, AR
About Mr. Justin Slade Bridwell Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. JUSTIN SLADE BRIDWELL CRNA (NPI 1407814924) is an individual nurse anesthetist, certified registered in Rogers, Arkansas, licensed in Arkansas (CO1557) and active in the NPI registry since May 2006. He is a graduate of Other (2004).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
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
Mr. Justin Slade Bridwell 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
3Medicare enrollment records show Justin Bridwell reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Rogers, AR 72758
- Reassigned Medicare billing, Arkansas enrollment
- 18 clinicians in this Medicare group
Siloam Springs, AR 72761
- Reassigned Medicare billing, Arkansas enrollment
- 57 clinicians in this Medicare group
Texarkana, AR 71854
- Reassigned Medicare billing, Arkansas enrollment
- 4 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 7
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 72756 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.
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 Justin Bridwell's NPI number?
The NPI number for Justin Bridwell is 1407814924. It was assigned to this individual provider in the NPPES registry on May 3, 2006.
Where is Justin Bridwell located?
Justin Bridwell practices at 1200 W Walnut St, Rogers, AR 72756. The listed phone number is (479) 636-0200.
What is Justin Bridwell's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Justin Bridwell enrolled in Medicare?
Yes. Justin Bridwell 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 Justin Bridwell's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Justin Bridwell reassigns Medicare benefits to 3 organizations: Pinnacle Anesthesia Group, PLLC (Rogers, AR), Siloam Springs Clinic Company LLC (Siloam Springs, AR) and Gates Anesthesia LLC (Texarkana, 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 Justin Bridwell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Justin Bridwell 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 4 other insurers list Justin Bridwell 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 Justin Bridwell was last updated on December 6, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Mr. Justin Slade Bridwell, CRNA · NPI 1407814924
Nurse Anesthetist, Certified Registered physician in Rogers, Arkansas. Individual provider, active in the CMS NPPES registry since May 3, 2006.
## Identity
- **NPI:** 1407814924 (Entity type: Individual)
- **Enumerated:** May 3, 2006
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** CO1557 (Arkansas)
- **Sole proprietor:** No
## Practice location
- **Address:** 1200 W WALNUT ST, Rogers, AR 72756-3546
- **Phone:** (479) 636-0200 · **Fax:** (479) 936-2912
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Pinnacle Anesthesia Group, PLLC (NPI 1487358941, Rogers, AR); Siloam Springs Clinic Company LLC (NPI 1013155431, Siloam Springs, AR); Gates Anesthesia LLC (NPI 1811782824, Texarkana, AR) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2004
## Record status
- **NPPES last updated:** December 6, 2007
- **Other identifiers:** Medicare PIN P00397004 (AR); Medicare PIN 5Y606C741 (AR)
---
Source: [NPI Profile](https://npiprofile.com/npi/1407814924) · Data from the CMS NPPES public registry.