Individual provider Active NPI

Clinton Stuart Pepper, CRNA

  • Certified Registered Nurse Anesthetist
  • Metairie, LA
National Provider Identifier
1346543873
Registry record updated Dec 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN103730 Issued in LA
Practice address
3510 N Causeway Blvd
Suite 404
Metairie, LA 70002-3531
Phone
(504) 779-5515
NPI assigned
Dec 6, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 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 RN103730 LA Primary

Addresses

Primary practice location

3510 N Causeway Blvd
Suite 404
Metairie, LA 70002-3531

Mailing address

255 W Michigan Ave
Jackson, MI 49201-2218
Phone (800) 242-1131

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110203000567 LA Practitioner - Certified Registered Nurse Anesthetist (Crna) 8022298348 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bayou Anesthesia Group LLCGroup PAC ID 0648456095, 9 clinicians
Brfhh Monroe LLCGroup PAC ID 0042446577, 17 clinicians

Practice addresses (Care Compare)

312 Grammont St
Suite 303
Monroe, LA 71201-7403
Phone (318) 398-2984

4864 Jackson St
Monroe, LA 71202-6400
Phone (318) 330-7000

901 James Ave
Farmerville, LA 71241-2234
Phone (318) 368-9751

Hospital & facility affiliations

  • Ochsner Lsu Health Monroe Hospital, Monroe, LA, CCN 190011

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN103730LAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Endoscopy Center of Monroe Nurse Anesthetist, Certified Registered CurrentSince Jun 4, 2018 Accepting new patients
Bayou Anesthesia Group LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2016 Accepting new patients
Lsu Health Sciences Center Shreveport Faculty Group Practice CurrentSince Jul 1, 2021 Accepting new patients
Shreveport Sedation Associates LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 19, 2023 Accepting new patients
Joseph E Humble and Raymond Haik, PTRS CurrentSince Sep 1, 2025 Accepting new patients
Anesthesia Dynamics LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2023 Accepting new patients
Joseph E Humble and Raymond Haik, PTRS CurrentSince Sep 1, 2025 Accepting new patients
Arena Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2016 Accepting new patients
Endoscopy Center of Monroe CurrentSince Jun 4, 2018 Accepting new patients
Brfhh Monroe LLC CurrentSince Mar 20, 2015 Accepting new patients

Locations

3220 N St NW
Washington, DC 20007
Phone (202) 338-6051

901 James Ave
Farmerville, LA 71241
Phone (318) 210-9020

316 S 6th St
Monroe, LA 71201
Phone (318) 325-2634

309 Jackson St
Monroe, LA 71201
Phone (318) 966-4000

312 Grammont St
Ste 303
Monroe, LA 71201
Phone (318) 322-9882

4864 Jackson St
Monroe, LA 71202
Phone (318) 330-7000

1601 Louisville Ave
Monroe, LA 71201
Phone (318) 998-5555

401 E Vaughn Ave
Ruston, LA 71270
Phone (318) 254-2100

1606 Kings Hwy
Shreveport, LA 71103
Phone (318) 675-6402

3217 Mabel St
Shreveport, LA 71103

1541 Kings Hwy
Shreveport, LA 71103
Phone (318) 626-0287

1512 W Kirby Pl
Shreveport, LA 71103
Phone (318) 626-0177

1275 Glenwood Dr
West Monroe, LA 71291
Phone (318) 322-1339

102 Regency Pl
West Monroe, LA 71291
Phone (318) 322-4888

1804 N 7th St
West Monroe, LA 71291
Phone (318) 325-2610

102 Thomas Rd
Ste 506
West Monroe, LA 71291
Phone (318) 388-6983

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 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": "1291593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291593600000",
    "number": "1346543873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 W MICHIGAN AVE",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492012218",
            "telephone_number": "800-242-1131",
            "fax_number": "517-787-7379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3510 N CAUSEWAY BLVD",
            "address_2": "SUITE 404",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700023531",
            "telephone_number": "504-779-5515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEPPER",
        "first_name": "CLINTON",
        "middle_name": "STUART",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-12-06",
        "last_updated": "2010-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "LA",
            "license": "RN103730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.