Jefferson Regional Anesthesia LLC
NPI 1205301587ActiveOrganization· Nurse Anesthetist, Certified Registered· Pine Bluff, AR
Nurse Anesthetist, Certified Registered in Pine Bluff, Arkansas, registered in NPPES in October 2018. The authorized official on file is Bryan G. Jackson, Cfo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1205301587 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 12, 2018 |
| Last updated in NPPES | Oct 12, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Anesthetist, Certified Registered Primary | 367500000X | — | — |
| Anesthesiology | 207L00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (AR) |
|---|
Other nurse anesthetists in Pine Bluff
- 1073712782
- 1174966329
- 1306841358
- 1548265093
- 1659387769
- 1740285709
- 1861639817
- 1962465948
- 1285130286
- 1306223078
- 1336509819
- 1356346316
All 23 nurse anesthetists in Pine Bluff · All nurse anesthetists in Arkansas