Individual provider Active NPI

Jessica Laile Baker, CRNA

  • Certified Registered Nurse Anesthetist
  • North Little Rock, AR
National Provider Identifier
1144312448
Registry record updated Jun 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
CO1411 Issued in AR
Practice address
5201 Northshore Dr
North Little Rock, AR 72118-5312
Phone
(501) 748-8000
NPI assigned
Sep 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X CO1411 AR Primary

Addresses

Primary practice location

5201 Northshore Dr
North Little Rock, AR 72118-5312

Mailing address

118 Cobblestone Cir
North Little Rock, AR 72116-3739
Phone (501) 626-6260

Other identifiers 2

IdentifierTypeStateIssuer
5X206OtherARBLUE CROSS OF AR
154338701MedicaidAR

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040713000883 AR Practitioner - Certified Registered Nurse Anesthetist (Crna) 0547248718 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
NLR Gi Anesthesia, LLCGroup PAC ID 6002210846, 12 clinicians

Practice addresses (Care Compare)

3401 Springhill Dr
Suite 155
North Little Rock, AR 72117-2934
Phone (615) 620-2320

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CO1411ARMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Anesthesia Services, PLC Nurse Anesthetist, Certified Registered CurrentSince Nov 1, 2017 Accepting new patients
Southern Regional Anesthesiology Consultants PLLC CurrentSince May 15, 2018 Accepting new patients
Arkansas Surgical Hospital, LLC CurrentSince Jan 1, 2022 Accepting new patients
Arkansas Surgical Hospital, LLC CurrentSince Jan 1, 2022 Accepting new patients
Arkansas Surgical Hospital, LLC Current Accepting new patients
NLR Gi Anesthesia, LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2021 Accepting new patients
Conway Anesthesiology Consultants, P.a. PastSince Mar 1, 2020 Accepting new patients
Little Rock Outpatient Surgery Center, LLC Past Accepting new patients
Little Rock Outpatient Surgery Center, LLC Past Accepting new patients
St. Vincent Infirmary Medical Center Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

500 S University Ave
Ste 505
Little Rock, AR 72205
Phone (501) 588-1100

500 S University Ave
Ste 500
Little Rock, AR 72205
Phone (501) 320-1101

212 Natural Resources Dr
Little Rock, AR 72205
Phone (501) 664-7200

2 Saint Vincent Cir
Little Rock, AR 72205
Phone (501) 552-2680

4 Hospital Dr
Morrilton, AR 72110
Phone (501) 977-2300

5201 Northshore Dr
Ste 300
North Little Rock, AR 72118
Phone (501) 748-8000

5201 Northshore Dr
North Little Rock, AR 72118
Phone (501) 748-8000

3401 Springhill Dr
Ste 155
North Little Rock, AR 72117
Phone (501) 202-3631

2215 Wildwood Ave
Sherwood, AR 72120
Phone (501) 522-7100

2209 Wildwood Ave
Sherwood, AR 72120
Phone (501) 834-5777

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276646400000",
    "number": "1144312448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 COBBLESTONE CIR",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721163739",
            "telephone_number": "501-626-6260",
            "fax_number": "501-753-5011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5201 NORTHSHORE DR",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721185312",
            "telephone_number": "501-748-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "JESSICA",
        "middle_name": "LAILE",
        "name_prefix": "Mrs.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2010-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AR",
            "license": "CO1411",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF AR",
            "identifier": "5X206",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "154338701",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2010; 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.