Active NPI
Brandon Jay Edmondson, DNAP, CRNA
- Certified Registered Nurse Anesthetist
- Soldotna, AK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 233514
- Practice address
- 250 Hospital PL
Soldotna, AK 99669-7559 - Phone
- (907) 714-4404
- NPI assigned
- Sep 19, 2023
- Sex
- Male
- Sole proprietor
- No
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 | 256117 | AK | |
| Certified Registered Nurse Anesthetist | 367500000X | 233514 | AR | Primary |
Addresses
Primary practice location
250 Hospital PL
Soldotna, AK 99669-7559
Mailing address
701 South St Ste 100
Mountain Home, AR 72653-4452
Phone (801) 500-2475
Other practice location 1
2710 S Rife Medical Ln
Rogers, AR 72758-1452
Phone (801) 500-2475
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250820005202 | AR | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 2163922576 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Renew Medical Group of Arkansas LTD
Practice addresses (Care Compare)
7301 Rogers Ave
Fort Smith, AR 72903-4100
Phone (479) 314-6000
Hospital & facility affiliations
- Mercy Hospital Northwest Arkansas
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 233514 | AR | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Renew Medical Group of Arkansas LTD | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Youngs Professional Services LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
3000 Medical Center Pkwy
Bentonville, AR 72712
Phone (479) 553-2524
700 W Grove St
El Dorado, AR 71730
Phone (870) 863-2200
7301 Rogers Ave
Fort Smith, AR 72903
Phone (479) 314-4600
2710 S Rife Medical Ln
Rogers, AR 72758
Phone (479) 338-8000
609 W Maple Ave
Springdale, AR 72764
Phone (479) 751-5711
Organizations & group practices 2
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.
-
- Anesthesiology Physician
- Fort Smith, AR
- NPI 1215755947
AR, Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- New Iberia, LA
- NPI 1922178599
AR, Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 1
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": "1695081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784937600000",
"number": "1144008384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 SOUTH ST STE 100",
"city": "MOUNTAIN HOME",
"state": "AR",
"postal_code": "726534452",
"telephone_number": "801-500-2475"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 HOSPITAL PL",
"city": "SOLDOTNA",
"state": "AK",
"postal_code": "996697559",
"telephone_number": "907-714-4404"
}
],
"practiceLocations": [
{
"address_1": "2710 S Rife Medical Ln",
"address_purpose": "LOCATION",
"city": "Rogers",
"state": "AR",
"postal_code": "727581452",
"country_code": "US",
"telephone_number": "801-500-2475",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EDMONDSON",
"first_name": "BRANDON",
"middle_name": "JAY",
"name_prefix": "Dr.",
"credential": "DNAP, CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-09-19",
"last_updated": "2026-07-25",
"certification_date": "2026-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "AK",
"license": "256117",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "AR",
"license": "233514",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Soldotna, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2026; 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.