Jeffrey C. Russell, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

R72315 Issued in AR

Practice address

9601 Interstate 630 Exit 7
Little Rock, AR 72205-7202

Phone

(501) 202-2029

Fax

(501) 202-6316

NPI assigned

Dec 18, 2009

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

St Vincent Medical GroupGroup PAC ID 5698758803, 237 clinicians

Arkansas Health GroupGroup PAC ID 7911802079, 645 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• CHI-St Vincent Infirmary Hospital, Little Rock, AR, CCN 040007
• Baptist Health Medical Center-Little Rock Hospital, Little Rock, AR, CCN 040114

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Arkansas Health Group

  • Anesthesiology Physician
  • Little Rock, AR
  • NPI 1508800962
  Medicare reassignment Care Compare group NPD
• St. Vincent Medical Group

  • Family Medicine Physician
  • Little Rock, AR
  • NPI 1134176480
  Medicare reassignment Care Compare group NPD
• Johnson Regional Medical Center

  • Anesthesiology Physician
  • Clarksville, AR
  • NPI 1396794525
  Medicare reassignment NPD
• Protection Anesthesia Services PA

  • Certified Registered Nurse Anesthetist
  • Little Rock, AR
  • NPI 1457001109

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Southern Regional Anesthesiology Consultants PLLC

  • Anesthesiology Physician
  • Little Rock, AR
  • NPI 1902231673
  Medicare reassignment NPD
• Youngs Professional Services LLC

  • Certified Registered Nurse Anesthetist
  • New Iberia, LA
  • NPI 1922178599

  AR, Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Ans Services of Arkansas PA

  • Anesthesiology Physician
  • Fort Smith, AR
  • NPI 1699558387
  NPD
• Arkansas Health Group

  • Surgery Physician
  • Stuttgart, AR
  • NPI 1952840555
  NPD
• Johnson Regional Medical Center

  • Land Ambulance
  • Clarksville, AR
  • NPI 1275753881
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Baptist Health

  • General Acute Care Hospital
  • Little Rock, AR
  • NPI 1043240682
  Care Compare affiliation
• St Vincent Infirmary Medical Center

  • Psychiatric Hospital Unit
  • Little Rock, AR
  • NPI 1710442801
  Care Compare affiliation
• St Vincent Infirmary Medical Center

  • General Acute Care Hospital
  • Little Rock, AR
  • NPI 1780684431
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1261094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261094400000",
    "number": "1073842175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11001 EXECUTIVE CENTER DR STE 200",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722114393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9601 INTERSTATE 630 EXIT 7",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722057202",
            "telephone_number": "501-202-2029",
            "fax_number": "501-202-6316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "JEFFREY",
        "middle_name": "C.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-18",
        "last_updated": "2009-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AR",
            "license": "R72315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glennae Russell
• Harrison Russell
• Ida Alicia Russell, ATC
• James Shepherd Russell IV, M.D.
• Jared Russell, RPH
• Jillian Russell, LCSW
• Katherine Russell, MHPP
• Kimwonyanna Russell
• Lashonda Russell, LAC
• Lawrence Russell

• Certified Registered Nurse Anesthetist in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Certified Registered Nurse Anesthetist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.