NPIMap

Individual provider Active NPI

Jared Grant Winters, CRNA

  • Certified Registered Nurse Anesthetist
  • Jonesboro, AR
National Provider Identifier
1154680338
Registry record updated Oct 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
C002955 Issued in AR
Practice address
225 E Jackson Ave
Jonesboro, AR 72401-3119
Phone
(870) 972-4100
NPI assigned
May 9, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R80233 AR
Certified Registered Nurse Anesthetist 367500000X C002955 AR Primary

Addresses

Primary practice location

225 E Jackson Ave
Jonesboro, AR 72401-3119

Mailing address

PO Box 8099
Jonesboro, AR 72403-8099
Phone (870) 932-4211

Other identifiers 1

IdentifierTypeStateIssuer
193230001MedicaidAR

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130621000553 AR Practitioner - Certified Registered Nurse Anesthetist (Crna) 1254597974 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mississippi County Hospital SystemGroup PAC ID 9739230723, 17 clinicians
White River Health Anesthesia Service Group, Inc.Group PAC ID 3173042397, 23 clinicians
Jonesboro Anesthesia IncGroup PAC ID 6709798077, 60 clinicians

Practice addresses (Care Compare)

1520 N Division St
Blytheville, AR 72315-1448

1710 Harrison St
Batesville, AR 72501-7303
Phone (870) 262-1200

225 E Washington Ave
St Bernards Med Ctr
Jonesboro, AR 72401-3119
Phone (870) 932-4211

Hospital & facility affiliations

  • St Bernards Medical Center Hospital, Jonesboro, AR, CCN 040020
  • Great River Medical Center Hospital, Blytheville, AR, CCN 040069
  • White River Medical Center Hospital, Batesville, AR, CCN 040119

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R80233ARMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Five Rivers Medical Center Inc. Nurse Anesthetist, Certified Registered CurrentSince Jul 7, 2019 Accepting new patients
White River Health Anesthesia Service Group, Inc. Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2025 Accepting new patients
Mississippi County Hospital System Nurse Anesthetist, Certified Registered CurrentSince Aug 30, 2024 Accepting new patients
White River Health System, Inc. CurrentSince Jun 20, 2021 Accepting new patients
White River Health System, Inc. Current Accepting new patients
Five Rivers Medical Center CurrentSince Jul 7, 2019 Accepting new patients
Mississippi County Hospital System CurrentSince Aug 30, 2024 Accepting new patients
White River Health System, Inc Nurse Anesthetist, Certified Registered CurrentSince May 1, 2021 Accepting new patients
Jonesboro Anesthesia Inc CurrentSince May 6, 2013 Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

1710 Harrison St
Batesville, AR 72501
Phone (870) 262-1240

1710 Harrison St
Ste A
Batesville, AR 72501
Phone (870) 262-3280

1520 N Division St
Blytheville, AR 72315
Phone (870) 838-7300

225 E Washington Ave
Jonesboro, AR 72401
Phone (870) 207-1630

225 E Jackson Ave
Jonesboro, AR 72401
Phone (870) 207-1630

1526 E Main St
Melbourne, AR 72556
Phone (870) 262-3210

2106 E Main St
Mountain View, AR 72560
Phone (870) 262-5056

2801 Medical Center Dr
Pocahontas, AR 72455
Phone (870) 892-6000

Organizations & group practices 11

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 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1336521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382572800000",
    "number": "1154680338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8099",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724038099",
            "telephone_number": "870-932-4211",
            "fax_number": "870-931-9141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 E JACKSON AVE",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724013119",
            "telephone_number": "870-972-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINTERS",
        "first_name": "JARED",
        "middle_name": "GRANT",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-09",
        "last_updated": "2013-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AR",
            "license": "R80233",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AR",
            "license": "C002955",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "193230001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2013; 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.