Individual provider Active NPI

Jesse P Pollard, CRNA

  • Certified Registered Nurse Anesthetist
  • Rogers, AR
National Provider Identifier
1366547481
Registry record updated Sep 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
C01356 Issued in AR
Practice address
2710 Rife Medical LN
Rogers, AR 72758-1452
Phone
(913) 381-5200
Fax
(913) 381-0979
NPI assigned
Sep 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 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 C01356 AR Primary

Addresses

Primary practice location

2710 Rife Medical LN
Rogers, AR 72758-1452

Mailing address

PO Box 507
Lowell, AR 72745-0507
Phone (913) 381-5200

Other identifiers 1

IdentifierTypeStateIssuer
148595701MedicaidAR

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080502000338 AR Practitioner - Certified Registered Nurse Anesthetist (Crna) 0840379806 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Renew Medical Group of Arkansas LTDGroup PAC ID 3173056298, 129 clinicians
Chase Placek Floyd MeggersGroup PAC ID 1951375492, 3 clinicians
Youngs Professional Services LLCGroup PAC ID 2163524992, 297 clinicians

Practice addresses (Care Compare)

2708 S Rife Medical LN
Rogers, AR 72758-1452
Phone (479) 338-8000

2710 S Rife Medical LN
Rogers, AR 72758-1452
Phone (479) 338-8000

3000 Medical Ctr Pkwy
Bentonville, AR 72712-3217
Phone (479) 751-3722

700 W Grove St
Medical Center of South Arkansas
El Dorado, AR 71730-4416
Phone (870) 863-2000

7301 Rogers Ave
Fort Smith, AR 72903-4100
Phone (479) 314-6000

Hospital & facility affiliations

  • Mercy Hospital Northwest Arkansas Hospital, Rogers, AR, CCN 040010
  • Northwest Medical Center-Springdale Hospital, Springdale, AR, CCN 040022

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C01356ARMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Anesthesia Solutions of Arkansas, LLC Nurse Anesthetist, Certified Registered CurrentSince May 16, 2023 Accepting new patients
Anesthesia Services of Benton County PA CurrentSince Feb 1, 2008 Accepting new patients
Arkansas Health Group CurrentSince Oct 14, 2019 Accepting new patients
Western Arkansas Obstetric Anesthesia LLC CurrentSince Jan 1, 2020 Accepting new patients
Renew Medical Group of Arkansas LTD Nurse Anesthetist, Certified Registered CurrentSince Feb 7, 2025 Accepting new patients
Youngs Professional Services LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 28, 2020 Accepting new patients
Chase Placek Floyd Meggers Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2021 Accepting new patients
Arkansas Health Group CurrentSince Oct 14, 2019 Accepting new patients
Southern Regional Anesthesiology Consultants PLLC CurrentSince Jan 1, 2020 Accepting new patients
Mercy Kansas Communities Inc Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

3000 Medical Center Pkwy
Bentonville, AR 72712
Phone (479) 553-2524

3000 Medical Center Pkwy
Fl 2
Bentonville, AR 72712

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

6801 Rogers Ave
Fort Smith, AR 72903
Phone (479) 314-6000

7301 Rogers Ave
Fort Smith, AR 72903
Phone (479) 314-4600

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

9601 Baptist Health Dr
Little Rock, AR 72205
Phone (501) 202-3995

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

11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215

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

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

2708 S Rife Medical Ln
Ste 300
Rogers, AR 72758
Phone (479) 338-3030

1200 W Walnut St
Rogers, AR 72756
Phone (479) 631-9996

2710 S Rife Medical Ln
Rogers, AR 72758
Phone (479) 338-8000

2708 S Rife Medical Ln
Rogers, AR 72758
Phone (479) 338-3030

603 N Progress Ave
Siloam Springs, AR 72761
Phone (479) 215-3000

609 W Maple Ave
Springdale, AR 72764
Phone (479) 751-5711

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 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": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283385600000",
    "number": "1366547481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 507",
            "city": "LOWELL",
            "state": "AR",
            "postal_code": "727450507",
            "telephone_number": "913-381-5200",
            "fax_number": "913-381-0979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2710 RIFE MEDICAL LN",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727581452",
            "telephone_number": "913-381-5200",
            "fax_number": "913-381-0979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLLARD",
        "first_name": "JESSE",
        "middle_name": "P",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2010-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AR",
            "license": "C01356",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "148595701",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rogers, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.