Individual provider Active NPI

Jed Alden Alcaide Isidro

  • Certified Registered Nurse Anesthetist
  • Jonesboro, AR
National Provider Identifier
1265015812
Registry record updated Aug 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
216351 Issued in AR
Practice address
225 E Washington Ave
Jonesboro, AR 72401-3111
Phone
(870) 207-4100
NPI assigned
May 2, 2021
Last updated
Aug 13, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 216351 AR Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

225 E Washington Ave
Jonesboro, AR 72401-3111

Mailing address

504 Ellis LN
Jonesboro, AR 72401-8566
Phone (281) 948-4370

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, MO, NM, TN4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20210830000891 AR Practitioner - Certified Registered Nurse Anesthetist (Crna) 5991100943 Reassigns benefits to 5 organizations
I20240123002394 MO Practitioner - Certified Registered Nurse Anesthetist (Crna) 5991100943 Reassigns benefits to 2 organizations
I20240503000508 NM Practitioner - Certified Registered Nurse Anesthetist (Crna) 5991100943 Reassigns benefits to 2 organizations
I20240614003332 TN Practitioner - Certified Registered Nurse Anesthetist (Crna) 5991100943 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jonesboro Anesthesia IncGroup PAC ID 6709798077, 60 clinicians

Practice addresses (Care Compare)

1520 N Division St
Blytheville, AR 72315-1448

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

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jonesboro Anesthesia Inc CurrentSince Aug 16, 2021 Accepting new patients
Mississippi County Hospital System CurrentSince Dec 2, 2024 Accepting new patients
Otero County Hospital Association CurrentSince Apr 1, 2024 Accepting new patients
American Anesthesiology of Tennessee, P.C. Nurse Anesthetist, Certified Registered CurrentSince May 1, 2024 Accepting new patients
Johnson Regional Medical Center CurrentSince Mar 27, 2023 Accepting new patients
Midwest Anesthesia Providers S.C Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2026 Accepting new patients
Mississippi County Hospital System Nurse Anesthetist, Certified Registered CurrentSince Dec 2, 2024 Accepting new patients
Johnson Regional Medical Center CurrentSince Mar 27, 2023 Accepting new patients
American Anesthesiology of Tennessee, P.C. CurrentSince May 1, 2024 Accepting new patients
Ans Services of Arkansas PA CurrentSince Sep 25, 2024 Accepting new patients
Capital Anesthesia Solutions of Missouri LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 20, 2023 Accepting new patients
Otero County Hospital Association CurrentSince Apr 1, 2024 Accepting new patients
Youngs Professional Services LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 2, 2022 Accepting new patients
Netherlands Anesthesia, LLC CurrentSince Aug 1, 2024 Accepting new patients
Taos Health Systems, Inc., Holy Cross Hospital Past Accepting new patients

Locations

1520 N Division St
Blytheville, AR 72315
Phone (870) 780-6832

1100 E Poplar St
Ste B
Clarksville, AR 72830
Phone (479) 754-5454

700 W Grove St
El Dorado, AR 71730
Phone (870) 863-2200

1001 Towson Ave
Fort Smith, AR 72901
Phone (479) 441-3980

300 Werner St
Hot Springs National Park, AR 71913
Phone (501) 622-1000

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

1101 W Liberty St
Farmington, MO 63640
Phone (573) 705-1272

400 Parkland Dr
Farmington, MO 63640
Phone (303) 755-3201

2620 N Westwood Blvd
Poplar Bluff, MO 63901
Phone (573) 686-4111

3100 Oak Grove Rd
Rombauer, MO 63901
Phone (573) 776-2000

2669 Scenic Dr
Alamogordo, NM 88310
Phone (505) 439-6100

601 Martin Luther King Ave NE
Albuquerque, NM 87102
Phone (505) 727-8040

1397 Weimer Rd
Taos, NM 87571
Phone (575) 751-5746

1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796

1500 W Poplar Ave
Collierville, TN 38017
Phone (901) 227-8140

9300 Park West Blvd
Knoxville, TN 37923
Phone (865) 427-4040

6019 Walnut Grove Rd
Memphis, TN 38120
Phone (901) 226-3190

6225 Humphreys Blvd
Memphis, TN 38120
Phone (901) 227-2727

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 16

Hospital & facility affiliations 2

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": "1619913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628812800000",
    "number": "1265015812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 ELLIS LN",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724018566",
            "telephone_number": "281-948-4370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 E WASHINGTON AVE",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724013111",
            "telephone_number": "870-207-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISIDRO",
        "first_name": "JED ALDEN",
        "middle_name": "ALCAIDE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-02",
        "last_updated": "2021-08-13",
        "certification_date": "2021-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AR",
            "license": "216351",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Aug 13, 2021; 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.