1. Home
  2. Directory
  3. North Carolina
  4. Smithfield
  5. Nurse Anesthetist Certified Registered
  6. NPI Profile

MR. JAMES EDWARD HOWELL CRNA
NPI 1659482172
Nurse Anesthetist, Certified Registered in Smithfield, NC

Active since August 31, 2006Accepts Medicare Assignment
509 N BRIGHTLEAF BLVD, SMITHFIELD, NC 27577(919) 938-7113 Get Directions Write a Review

NPPES record last updated: July 28, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mr. James Edward Howell Crna NPPES

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

MR. JAMES EDWARD HOWELL CRNA (NPI 1659482172) is an individual nurse anesthetist, certified registered in Smithfield, North Carolina, licensed in North Carolina (2512) and active in the NPI registry since August 2006. He is affiliated with Johnston Health and is a graduate of Other (1981).

NPPES Registry Identity

NPI1659482172
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameMR. JAMES EDWARD HOWELLCredential: CRNA
Location Address509 N BRIGHTLEAF BLVDSmithfield, NC 27577-4407
Mailing Address1605 Lorimer RdRaleigh, NC 27606-2625 · (919) 851-0223
Phone(919) 938-7113
Sole ProprietorNo
Medical School CMSOtherGraduated 1981
Enumeration DateAugust 31, 2006
Last NPPES UpdateJuly 28, 2026
NPPES CertifiedJuly 28, 2026
✔ NPI 1659482172 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
Licenses✔ Licensed in NC · 2512✔ Licensed in NC · 058897
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.
509 N BRIGHTLEAF BLVD, Smithfield, NC 27577
Open in Google Maps ↗

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. James Edward Howell 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 ID547320897
PECOS Enrollment IDI20081117000814

Medicare Billing Reassignments

2

Medicare enrollment records show James Howell reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Johnston Health Services Corporation
Same address
Nurse Anesthetist, Certified Registered
509 N BRIGHTLEAF BLVD
Smithfield, NC 27577
  • Reassigned Medicare billing, North Carolina enrollment
  • 39 clinicians in this Medicare group
NPI 1275735425 (919) 934-8171
American Anesthesiology Of North Carolina, PLLC
33 mi
Pain Medicine
110 CAPCOM AVE STE 200
Wake Forest, NC 27587
  • Reassigned Medicare billing, North Carolina enrollment
  • 652 clinicians in this Medicare group
NPI 1942248547 (984) 215-6931

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.

Johnston Health

Acute Care Hospitals · Smithfield, NC
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340090
Location509 Bright Leaf BlvdSmithfield, NC 27577 · Johnston County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27577 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

FRANKLIN REGIONAL EMERGENCY PHYSICIANS, PLLC
Emergency Medicine
509 N BRIGHTLEAF BLVD, EMERGENCY DEPARTMENT
SMITHFIELD, NC 27577
Johnston County (919) 934-8171
BRANDON HERB M.D.
Emergency Medicine
509 N BRIGHTLEAF BLVD
SMITHFIELD, NC 27577
Johnston County (919) 938-7135
MRS. REBECCA LLOYD REYNOLDS PA-C
Physician Assistant
509 N BRIGHTLEAF BLVD
SMITHFIELD, NC 27577
Johnston County (919) 938-7189
CAITLYN POWELL SPARKS RN
Registered Nurse
509 N BRIGHTLEAF BLVD
SMITHFIELD, NC 27577
Johnston County (919) 934-8171
ANN THIMSEN PFLUGRATH M.D.
Anesthesiology
509 N BRIGHTLEAF BLVD
SMITHFIELD, NC 27577
Johnston County (919) 585-8641
NC COMPREHENSIVE HOSPITALISTS PLLC
Hospitalist
509 N BRIGHTLEAF BLVD
SMITHFIELD, NC 27577
Johnston County (877) 693-5700
AUBREY TURNER FRANKS PA
Physician Assistant
509 N BRIGHTLEAF BLVD
SMITHFIELD, NC 27577
Johnston County (919) 989-7909
UZMA S FAHEEM M.D
Psychiatry & Neurology (Psychiatry)
509 N BRIGHTLEAF BLVD
SMITHFIELD, NC 27577
Johnston County (919) 938-7558

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 James Howell's NPI number?

The NPI number for James Howell is 1659482172. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is James Howell located?

James Howell practices at 509 N Brightleaf Blvd, Smithfield, NC 27577. The listed phone number is (919) 938-7113.

What is James Howell's specialty?

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

Is James Howell enrolled in Medicare?

Yes. James Howell 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 James Howell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Howell reassigns Medicare benefits to 2 organizations: Johnston Health Services Corporation (Smithfield, NC) and American Anesthesiology Of North Carolina, PLLC (Wake Forest, NC). 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 James Howell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is James Howell affiliated with any hospitals?

According to CMS data, James Howell is affiliated with Johnston Health.

When was this NPI record last updated?

The NPPES record for James Howell was last updated on July 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.