Active NPI
Jami M. Shrum, C.R.N.A.
- Certified Registered Nurse Anesthetist
- Fayetteville, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- C002639
- Practice address
- 3271 N Wimberly Dr
Fayetteville, AR 72703-4033 - Phone
- (479) 713-6100
- NPI assigned
- Jan 31, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | C002639 | AR | Primary |
Addresses
Primary practice location
3271 N Wimberly Dr
Fayetteville, AR 72703-4033
Mailing address
3271 N Wimberly Dr
Fayetteville, AR 72703-4033
Phone (479) 713-6100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070501000174 | AR | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 5193821650 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Premier Anesthesia of Arkansas Professional Corporation
Practice addresses (Care Compare)
3271 N Wimberly Dr
Suite 1
Fayetteville, AR 72703-4033
Phone (479) 404-2551
Hospital & facility affiliations
- Washington Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C002639 | AR | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ambulatory Anesthesia Associates PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Premier Anesthesia of Arkansas Professional Corporation | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Grey Fox Anesthesia, P.a. | Past | Accepting new patients |
Locations
3271 N Wimberly Dr
Fayetteville, AR 72703
Phone (479) 713-6000
3215 N Northhills Blvd
Fayetteville, AR 72703
Phone (479) 463-1000
3271 N Wimberly Dr
Ste 1
Fayetteville, AR 72703
Phone (479) 404-2551
2655 Northwinds Pkwy
Alpharetta, GA 30009
Phone (678) 690-7804
Organizations & group practices 3
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
- Fayetteville, AR
- NPI 1932519485
AR, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Fayetteville, AR
- NPI 1497086292
AR, Nurse Anesthetist, Certified Registered
-
- Specialist
- Fayetteville, AR
- NPI 1659324606
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fayetteville, AR
- NPI 1083609150
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484870400000",
"number": "1215074232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3271 N WIMBERLY DR",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727034033",
"telephone_number": "479-713-6100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3271 N WIMBERLY DR",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727034033",
"telephone_number": "479-713-6100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHRUM",
"first_name": "JAMI",
"middle_name": "M.",
"credential": "C.R.N.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-31",
"last_updated": "2017-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "AR",
"license": "C002639",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2017; 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.