JOHNNY F CLENDENIN JR. CRNA
NPI 1962465948
Nurse Anesthetist, Certified Registered in Pine Bluff, AR
About Johnny F Clendenin Jr. Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHNNY F CLENDENIN JR. CRNA (NPI 1962465948) is an individual nurse anesthetist, certified registered in Pine Bluff, Arkansas, licensed in Arkansas (C01168) and active in the NPI registry since April 2006. He is a graduate of Other (1999).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 4
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
Johnny F Clendenin Jr. 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
5Medicare enrollment records show Johnny Clendenin reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Pine Bluff, AR 71603
- Reassigned Medicare billing, Arkansas enrollment
- 35 clinicians in this Medicare group
Little Rock, AR 72204
- Reassigned Medicare billing, Arkansas enrollment
- 176 clinicians in this Medicare group
Little Rock, AR 72204
- Reassigned Medicare billing, Arkansas enrollment
- 23 clinicians in this Medicare group
Little Rock, AR 72205
- Reassigned Medicare billing, Arkansas enrollment
- Medicare enrollment name: Premier Gastroenterology Associates PLLC
- 72 clinicians in this Medicare group
North Little Rock, AR 72118
- Reassigned Medicare billing, Arkansas enrollment
- 86 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 6
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 71603 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.
PINE BLUFF, AR 71603
PINE BLUFF, AR 71603
PINE BLUFF, AR 71603
PINE BLUFF, AR 71603
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 Johnny Clendenin's NPI number?
The NPI number for Johnny Clendenin is 1962465948. It was assigned to this individual provider in the NPPES registry on April 10, 2006.
Where is Johnny Clendenin located?
Johnny Clendenin practices at 1801 W 40th Ave Suite 2B, Pine Bluff, AR 71603. The listed phone number is (870) 535-7457.
What is Johnny Clendenin's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Johnny Clendenin enrolled in Medicare?
Yes. Johnny Clendenin 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 Johnny Clendenin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Johnny Clendenin reassigns Medicare benefits to 5 organizations: Jefferson Regional Anesthesia LLC (Pine Bluff, AR), Orthoarkansas, PA (Little Rock, AR), Billins Anesthesia Inc (Little Rock, AR), Premier Gastroenterology Associates-Anes PLLC (Little Rock, AR) and Arkansas Surgical Hospital, LLC (North Little Rock, 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 Johnny Clendenin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Johnny Clendenin 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 Johnny Clendenin 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 Johnny Clendenin was last updated on June 24, 2008. 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.
# Johnny F Clendenin Jr., CRNA · NPI 1962465948
Nurse Anesthetist, Certified Registered physician in Pine Bluff, Arkansas. Individual provider, active in the CMS NPPES registry since April 10, 2006.
## Identity
- **NPI:** 1962465948 (Entity type: Individual)
- **Enumerated:** April 10, 2006
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** C01168 (Arkansas)
- **Sole proprietor:** No
## Practice location
- **Address:** 1801 W 40TH AVE, SUITE 2B, Pine Bluff, AR 71603-6900
- **Phone:** (870) 535-7457 · **Fax:** (870) 535-2522
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Jefferson Regional Anesthesia LLC (NPI 1205301587, Pine Bluff, AR); Orthoarkansas, PA (NPI 1154823961, Little Rock, AR); Billins Anesthesia Inc (NPI 1184284291, Little Rock, AR); Premier Gastroenterology Associates-Anes PLLC (NPI 1689163982, Little Rock, AR); Arkansas Surgical Hospital, LLC (NPI 1265192835, North Little Rock, AR) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1999
## Record status
- **NPPES last updated:** June 24, 2008
- **Other identifiers:** Other 5U558 (AR); Other P00319061; Medicare PIN 5U558 (AR); and 1 more
---
Source: [NPI Profile](https://npiprofile.com/npi/1962465948) · Data from the CMS NPPES public registry.