Individual provider Active NPI

James R Humble Jr., CRNA

  • Certified Registered Nurse Anesthetist
  • Hot Springs, AR
National Provider Identifier
1124016415
Registry record updated Aug 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
C01434 Issued in AR
Practice address
1910 Malvern Ave
Hot Springs, AR 71901
Phone
(501) 321-1000
NPI assigned
Oct 11, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2019

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 A810403 MS
Certified Registered Nurse Anesthetist 367500000X C01434 AR Primary

Addresses

Primary practice location

1910 Malvern Ave
Hot Springs, AR 71901

Mailing address

PO Box 22390
Hot Springs, AR 71903-2390
Phone (855) 592-5265

Other identifiers 3

IdentifierTypeStateIssuer
5X535OtherARBCBS
152162701MedicaidAR
P00373012OtherRR MEDICARE GROUP CK6327

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040106000298 AR Practitioner - Certified Registered Nurse Anesthetist (Crna) 8224937578 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ouachita Regional Anesthesia PLLC 18 clinicians
North Arkansas Regional Medical Center 86 clinicians

Practice addresses (Care Compare)

1910 Malvern Ave
Hot Springs, AR 71901-7752
Phone (501) 321-1000

620 N Main St
Second Floor
Harrison, AR 72601-2911
Phone (870) 414-4000

8820 Knoedl CT
Little Rock, AR 72205-4600
Phone (501) 224-6767

Hospital & facility affiliations

  • National Park Medical Center Hospital, Hot Springs, AR, CCN 040078
  • North Arkansas Regional Medical Center Hospital, Harrison, AR, CCN 040017

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C01434ARMDCertified Registered Nurse Anesthetist
A810403MSMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Ouachita Regional Anesthesia PLLC CurrentSince Sep 1, 2016 Accepting new patients
South Arkansas Anesthesia Associates, LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 29, 2011 Accepting new patients
North Arkansas Regional Medical Center CurrentSince Jun 1, 2025 Accepting new patients
North Arkansas Regional Medical Center CurrentSince Jun 1, 2025 Accepting new patients
North Arkansas Regional Medical Center Current Accepting new patients
Sheridan Healthcare of Arkansas PA Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

2704 Vine St
El Dorado, AR 71730
Phone (615) 240-3820

620 N Willow St
Harrison, AR 72601
Phone (870) 365-2000

620 N Main St
#2
Harrison, AR 72601
Phone (870) 414-4000

620 N Main St
Fl Second
Harrison, AR 72601
Phone (870) 414-4000

2001 S Main St
Hope, AR 71801
Phone (870) 722-3800

124 Sawtooth Oak St
Hot Springs National Park, AR 71901
Phone (501) 623-7800

1910 Malvern Ave
Hot Springs National Park, AR 71901
Phone (501) 321-1000

8820 Knoedl Ct
Little Rock, AR 72205
Phone (501) 224-6767

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 3

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": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566172800000",
    "number": "1124016415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22390",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719032390",
            "telephone_number": "855-592-5265",
            "fax_number": "855-759-1165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 MALVERN AVE",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "71901",
            "telephone_number": "501-321-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUMBLE",
        "first_name": "JAMES",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-11",
        "last_updated": "2019-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MS",
            "license": "A810403",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AR",
            "license": "C01434",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "5X535",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "152162701",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE GROUP CK6327",
            "identifier": "P00373012",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hot Springs, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2019; 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.