Justin Lane Alexander, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Conway, AR
NPI 1013754027 · NPPES record last updated Sep 18, 2024
Key facts
- NPI
- 1013754027
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 230353 (AR)
- Practice address
- 2302 College Ave
Conway, AR 72034-6297 - Phone
- (501) 329-3831
- NPI assigned
- Jul 9, 2024
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- University of Arkansas College of Medicine, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Conway Anesthesiology Consultants, PA
Practice addresses (Care Compare)
2302 College Ave
Conway, AR 72034-6297
Phone (501) 327-6665
Hospital & facility affiliations
- Conway Regional Medical Center, Inc
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240924004302 | AR | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 2668913161 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 230353 | AR | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Conway Anesthesiology Consultants, P.a. | Current |
Accepting new patients |
Locations
2302 College Ave
Conway, AR 72034
Phone (501) 329-3831
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 230353 | AR | Yes |
Addresses
Primary practice location
2302 College Ave
Conway, AR 72034-6297
Mailing address
2850 Prince St Ste 43
Conway, AR 72034-3600
Phone (501) 327-6665
Other providers in Conway, AR
- Joshua Alcorn
- Mikayla Maria Alderson
- Alexandra Aldridge
- Veronica Matehbi Aletum
- Chase Alexande
- Shirley Alexander
- Thomas Gene Alfano
- Ahmed Ali
- Align Counseling & Wellness
- Nedra Allen-Jones
All providers in Conway, AR · Certified Registered Nurse Anesthetist in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 18, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.