Jennifer Elizabeth Vicknair, CRNA
NPI 1306861398ActiveIndividual· Nurse Anesthetist, Certified Registered· Monticello, AR
Nurse Anesthetist, Certified Registered (CRNA) with Willis Knighton Medical Center Inc CRNA Group, practicing in Monticello, Arkansas. Medicare paid $18,239 for services to 158 patients in 2024. Shockwave Medical, Inc reported $119.88 in payments in 2025, mostly food and beverage. Lists Willis Knighton Medical Center as a hospital affiliation.
Overview
| NPI | 1306861398 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | CRNA |
| Sole proprietor | No |
| NPI issued | Jul 12, 2006 |
| Last updated in NPPES | Jan 6, 2024 |
| Certified by provider | Jan 6, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Anesthetist, Certified Registered Primary | 367500000X | AP04334 | LA |
| Registered Nurse | 163W00000X | RN087113 | LA |
| Nurse Anesthetist, Certified Registered | 367500000X | C003168 | AR |
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 Practitioner - Certified Registered Nurse Anesthetist (CRNA) (AR); Practitioner - Certified Registered Nurse Anesthetist (CRNA) (LA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 158 |
|---|---|
| Services billed | 166 across 31 procedure codes |
| Paid by Medicare | $18,239 |
Education and affiliations
| Graduation year | 2003 |
|---|---|
| Medicare specialty | Certified Registered Nurse Anesthetist (Crna) |
Medical group
- Willis Knighton Medical Center Inc CRNA GroupShreveport, LA · 90 clinicians
Hospital affiliation
- Willis Knighton Medical CenterShreveport, LA
Industry payments (Open Payments)
- 2025$119.88 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Shockwave Medical, Inc | $119.88 | 1 |
What the 2025 payments were for
- Food and Beverage$119.88 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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