Individual provider Active NPI

Flem-Flam Aaron Flemister, CRNA, DNP

  • Certified Registered Nurse Anesthetist
  • Crossett, AR
National Provider Identifier
1104292465
Registry record updated Nov 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
C003120 Issued in AR
Practice address
1015 Unity Rd
Crossett, AR 71635-9443
Phone
(870) 364-4111
NPI assigned
Aug 20, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X C003120 AR Primary
Critical Care Medicine Registered Nurse 163WC0200X R088544 AR

Addresses

Primary practice location

1015 Unity Rd
Crossett, AR 71635-9443

Mailing address

PO Box 400
Crossett, AR 71635-0400
Phone (870) 364-4111

Other identifiers 1

IdentifierTypeStateIssuer
217613001MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161011002793 AR Practitioner - Certified Registered Nurse Anesthetist (Crna) 7719275536 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arkansas Health GroupGroup PAC ID 7911802079, 645 clinicians
Premier Anesthesia of Arkansas Professional CorporationGroup PAC ID 6406077460, 87 clinicians

Practice addresses (Care Compare)

2319 Hwy 110 W
Heber Springs, AR 72543-3442
Phone (501) 202-2093

3215 N N Hills Blvd
Fayetteville, AR 72703-4424
Phone (479) 463-1000

778 Scogin Dr
Suite B114
Monticello, AR 71655-5729
Phone (870) 460-2516

Hospital & facility affiliations

  • Baptist Health Medical Center-Drew County Hospital, Monticello, AR, CCN 040051
  • Washington Regional Medical Center Hospital, Fayetteville, AR, CCN 040004

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
R088544ARMDCritical Care Medicine Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Western Michigan University School of Medicine Current Accepting new patients
Arkansas Health Group CurrentSince Mar 13, 2024 Accepting new patients
Crossett Health Foundation CurrentSince Mar 1, 2017 Accepting new patients
Crossett Health Foundation Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2017 Accepting new patients
Premier Anesthesia of Arkansas Professional Corporation Nurse Anesthetist, Certified Registered CurrentSince Jan 12, 2026 Accepting new patients
Arkansas Health Group CurrentSince Mar 13, 2024 Accepting new patients
Youngs Professional Services LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 3, 2025 Accepting new patients
Michigan State University Kalamazoo Center for Medical Studies Current Accepting new patients

Locations

1015 Unity Rd
Crossett, AR 71635
Phone (870) 364-0590

700 W Grove St
El Dorado, AR 71730
Phone (870) 863-2200

3215 N Northhills Blvd
Fayetteville, AR 72703
Phone (479) 463-1000

3271 N Wimberly Dr
Ste 1
Fayetteville, AR 72703
Phone (479) 404-2551

11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215

2655 Northwinds Pkwy
Alpharetta, GA 30009
Phone (678) 690-7804

1000 Oakland Dr
Kalamazoo, MI 49008
Phone (269) 337-4347

400 10th St E
Waconia, MN 55387

Organizations & group practices 8

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1440028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699920000000",
    "number": "1104292465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 400",
            "city": "CROSSETT",
            "state": "AR",
            "postal_code": "716350400",
            "telephone_number": "870-364-4111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 UNITY RD",
            "city": "CROSSETT",
            "state": "AR",
            "postal_code": "716359443",
            "telephone_number": "870-364-4111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLEMISTER",
        "first_name": "FLEM-FLAM",
        "middle_name": "AARON",
        "name_prefix": "Dr.",
        "credential": "CRNA, DNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-20",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AR",
            "license": "C003120",
            "primary": true
        },
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "AR",
            "license": "R088544",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "217613001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Crossett, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2023; 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.