JOSHUA VAN PETTIT CRNA
NPI 1679891527
Nurse Anesthetist, Certified Registered in Jonesboro, AR

Q: What is Joshua Pettit's NPI number?

The NPI number for Joshua Pettit is 1679891527. It was assigned to this individual provider in the NPPES registry on May 16, 2010.

Q: What is Joshua Pettit'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 Joshua Pettit was last updated on May 16, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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 May 16, 2010Accepts Medicare Assignment

3024 STADIUM BLVD, JONESBORO, AR 72401(501) 227-0700(501) 227-0744 Get Directions Write a Review

NPPES record last updated: May 16, 2010. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Joshua Van Pettit Crna NPPES

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

JOSHUA VAN PETTIT CRNA (NPI 1679891527) is an individual nurse anesthetist, certified registered in Jonesboro, Arkansas, licensed in Arkansas (R69821) and active in the NPI registry since May 2010. He is a graduate of Other (2010).

NPPES Registry Identity

NPI1679891527

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameJOSHUA VAN PETTITCredential: CRNA

Location Address3024 STADIUM BLVDJonesboro, AR 72401-7415

Mailing Address2024 Arkansas Valley Dr, Suite 202Little Rock, AR 72212-4166 · (501) 227-0700 · Fax (501) 227-0744

Phone(501) 227-0700

Fax(501) 227-0744

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateMay 16, 2010

✔ NPI 1679891527 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

License✔ Licensed in AR · R69821

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.

3024 STADIUM BLVD, Jonesboro, AR 72401

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Health Advantage, Octave.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

Joshua Van Pettit 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 ID4981735933

PECOS Enrollment IDI20100708000476

Medicare Billing Reassignments

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

Jonesboro Surgery Center Anesthesia

3.0 mi

Anesthesiology

623 E MATTHEWS AVE, SUITE C
Jonesboro, AR 72401

Reassigned Medicare billing, Arkansas enrollment
4 clinicians in this Medicare group

NPI 1558641548 (870) 934-8010

Lifelinc Anesthesia V, P.A.

53 mi

Anesthesiology

2100 N 7TH ST
West Memphis, AR 72301

Reassigned Medicare billing, Arkansas enrollment
81 clinicians in this Medicare group

NPI 1063907244 (901) 844-1590

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 2

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 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.

535 services315 patients

Anesthesia for other procedure on lower leg, ankle, and foot bones 01480

Anesthesia for procedures on lower leg, ankle, and foot bones involves administering medication to block pain and sensation in these areas. This allows doctors to perform necessary treatments or surgeries without causing discomfort. The type of anesthesia used can vary based on the specific procedure.

27 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72401 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 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAUREN MARTIN CRNA

Nurse Anesthetist, Certified Registered