ETHERCO ANESTHESIA PLLC
NPI 1922838523
Nurse Anesthetist, Certified Registered in Pine Bluff, AR

Active since August 07, 2024
7005 S HAZEL ST, PINE BLUFF, AR 71603(501) 227-7000(501) 227-0744 Get Directions Write a Review

NPPES record last updated: August 7, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Etherco Anesthesia Pllc NPPES

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

ETHERCO ANESTHESIA PLLC (NPI 1922838523) is a healthcare organization registered as a nurse anesthetist, certified registered in Pine Bluff, Arkansas and active in the NPI registry since August 2024. The organization lists Shamsie Lumpkin, Partner, as its authorized official.

NPPES Registry Identity

NPI1922838523
Entity TypeOrganization
Primary Taxonomy367500000X
Legal Business NameETHERCO ANESTHESIA PLLC
Location Address7005 S HAZEL STPine Bluff, AR 71603-7833
Mailing AddressPo Box 55990Little Rock, AR 72215-5990 · (501) 227-0700 · Fax (501) 227-0744
Fax(501) 227-0744
Organization SubpartNo
Authorized OfficialShamsie LumpkinPartner · (501) 366-1907
Enumeration DateAugust 7, 2024
NPPES CertifiedAugust 7, 2024
✔ NPI 1922838523 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
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.
7005 S HAZEL ST, Pine Bluff, AR 71603

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Etherco Anesthesia Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Etherco Anesthesia PLLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Certified Registered Nurse Anesthetist (CRNA)
NPI 1548265093
1801 W 40TH AVE STE 2B
Pine Bluff, AR 71603
(870) 535-7457
✔ Accepts Medicare2.5 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1447248737
11401 INTERSTATE 30
Little Rock, AR 72209
(501) 455-7100
✔ Accepts Medicare41 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1346971009
500 S UNIVERSITY AVE STE 500
Little Rock, AR 72205
(501) 664-4532
✔ Accepts Medicare45 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1912495532
2 SAINT VINCENT CIR
Little Rock, AR 72205
(501) 552-3000
✔ Accepts Medicare45 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1265940878
2 SAINT VINCENT CIR
Little Rock, AR 72205
(501) 664-4532
✔ Accepts Medicare45 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1144840992
6225 N STATE HIGHWAY 161 STE 200
Irving, TX 75038
(214) 687-0001
✔ Accepts Medicare300 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Etherco Anesthesia PLLC's NPI number?

The NPI number for Etherco Anesthesia PLLC is 1922838523. It was assigned to this organization in the NPPES registry on August 7, 2024.

Where is Etherco Anesthesia PLLC located?

Etherco Anesthesia PLLC is located at 7005 S Hazel St, Pine Bluff, AR 71603. The listed phone number is (501) 227-7000.

What is Etherco Anesthesia PLLC's specialty?

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

Is Etherco Anesthesia PLLC enrolled in Medicare?

Yes. Etherco Anesthesia PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Etherco Anesthesia PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians, all in Certified Registered Nurse Anesthetist (CRNA), reassign their Medicare billing to Etherco Anesthesia PLLC. A 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 the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Etherco Anesthesia PLLC was last updated on August 7, 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.