JOHNNY F CLENDENIN JR. CRNA
NPI 1962465948
Nurse Anesthetist, Certified Registered in Pine Bluff, AR

Active since April 10, 2006Accepts Medicare Assignment
1801 W 40TH AVE, SUITE 2B, PINE BLUFF, AR 71603(870) 535-7457(870) 535-2522 Get Directions Write a Review

NPPES record last updated: June 24, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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

NPI1962465948
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameJOHNNY F CLENDENIN JR.Credential: CRNA
Location Address1801 W 40TH AVE, SUITE 2BPine Bluff, AR 71603-6900
Mailing AddressPo Box 1272Pine Bluff, AR 71613-1272 · (870) 535-7457 · Fax (870) 535-2522
Fax(870) 535-2522
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateApril 10, 2006
Last NPPES UpdateJune 24, 2008
NPI 1962465948 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 · C01168
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.

1801 W 40TH AVE, Pine Bluff, AR 71603

Other Identifiers 4

Other5U558AR · Bcbs
OtherP00319061Rr Mcr
Medicare PIN5U558AR
Medicaid145162701AR

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID8729038435
PECOS Enrollment IDI20050129000242

Areas of Expertise CMS Part B claims 4

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 nerve block and injection procedure, prone position 01992
Anesthesia for nerve block and injection is a procedure to numb specific areas, reducing pain. You'll be positioned face-down (prone) for optimal access to the treatment area. The anesthetic is injected near the nerve, blocking pain signals to the brain.
166 services101 patients
Anesthesia for nerve destruction procedures on spine or spinal cord of lower back accessed through skin using imaging guidance 01940
This is a procedure where anesthesia is applied to numb specific nerves in your lower back. Using imaging guidance, the doctor can accurately locate these nerves through the skin. This is done to alleviate pain by disrupting nerve signals. It's a safe and effective method.
130 services112 patients
Anesthesia for nerve destruction procedures on spine or spinal cord of neck or upper back accessed through skin using imaging guidance 01939
This procedure involves using anesthesia to numb the area around your spine or spinal cord. The doctor will then use imaging guidance to accurately locate and destroy problematic nerves. This is done through the skin and targets either the neck or upper back area.
46 services41 patients
Anesthesia for other procedure on lower spine 00630
Anesthesia for a lower spine procedure involves administering medication to block pain and sensation in your back. This ensures comfort and stillness during the procedure. The type of anesthesia used depends on the specific procedure and your overall health.
17 services17 patients

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.

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 20

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

Anesthesiology
1801 W 40TH AVE, STE 2B
PINE BLUFF, AR 71603
Anesthesiology
1801 W 40TH AVE, STE 2B
PINE BLUFF, AR 71603
Nurse Anesthetist, Certified Registered
1801 W 40TH AVE, STE 2B
PINE BLUFF, AR 71603
Nurse Anesthetist, Certified Registered
1801 W 40TH AVE, STE 2B
PINE BLUFF, AR 71603
Anesthesiology
1801 W 40TH AVE, STE 2B
PINE BLUFF, AR 71603
Nurse Anesthetist, Certified Registered
1801 W 40TH AVE, STE 2B
PINE BLUFF, AR 71603
Nurse Anesthetist, Certified Registered
1801 W 40TH AVE, STE 2B
PINE BLUFF, AR 71603
Nurse Anesthetist, Certified Registered
1801 W 40TH AVE, STE 2B
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.

What insurance does Johnny Clendenin accept?

Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage and Octave 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 with the weekly NPPES data releases published by CMS.