Active NPI
James R Humble Jr., CRNA
- Certified Registered Nurse Anesthetist
- Hot Springs, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- C01434
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5X535 | Other | AR | BCBS |
| 152162701 | Medicaid | AR | |
| P00373012 | Other | RR MEDICARE GROUP CK6327 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 PLLCNorth Arkansas Regional Medical Center
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
- North Arkansas Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C01434 | AR | MD | Certified Registered Nurse Anesthetist |
| A810403 | MS | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ouachita Regional Anesthesia PLLC | Current | Accepting new patients | |
| South Arkansas Anesthesia Associates, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| North Arkansas Regional Medical Center | Current | Accepting new patients | |
| North Arkansas Regional Medical Center | Current | 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.
-
- Certified Registered Nurse Anesthetist
- El Dorado, AR
- NPI 1568599892
AR, Nurse Anesthetist, Certified Registered
-
- Surgery Physician
- Harrison, AR
- NPI 1003180035
-
- Community Based Hospice Care Agency
- Harrison, AR
- NPI 1043201064
-
- Home Health Agency
- Harrison, AR
- NPI 1134119316
-
- Hospitalist Physician
- Harrison, AR
- NPI 1376817304
-
- Primary Care Clinic/Center
- Harrison, AR
- NPI 1588345243
-
- Rural Health Clinic/Center
- Jasper, AR
- NPI 1588654982
-
- Emergency Medical Services (Emergency Medicine) Physician
- Harrison, AR
- NPI 1801067657
-
- Family Medicine Physician
- Harrison, AR
- NPI 1962741801
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hot Springs, AR
- NPI 1841241833
Hospital
-
- General Acute Care Hospital
- Harrison, AR
- NPI 1275523912
Hospital
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.