Individual provider Active NPI

Lori E Cole, CRNA

  • Certified Registered Nurse Anesthetist
  • Pine Bluff, AR
National Provider Identifier
1407851439
Registry record updated May 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
C01506 Issued in AR
Practice address
1801 W 40TH Ave
Ste 2B
Pine Bluff, AR 71603-6957
Phone
(870) 535-7457
Fax
(870) 535-2522
NPI assigned
Jun 16, 2005
Last updated
May 27, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2022

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 C01506 AR Primary

Addresses

Primary practice location

1801 W 40TH Ave
Ste 2B
Pine Bluff, AR 71603-6957

Mailing address

PO Box 1272
Pine Bluff, AR 71613-1272
Phone (870) 535-7457

Other identifiers 4

IdentifierTypeStateIssuer
P00202215OtherRRMCR/PGBA
156462001MedicaidAR
P00202215OtherRR MCR
5Y196OtherARBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050317000895 AR Practitioner - Certified Registered Nurse Anesthetist (Crna) 6103877931 Reassigns benefits to 10 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jefferson Regional Anesthesia LLCGroup PAC ID 6204171846, 18 clinicians
St Vincent Medical GroupGroup PAC ID 5698758803, 237 clinicians
Premier Anesthesia of Arkansas Professional CorporationGroup PAC ID 6406077460, 87 clinicians
ASC Anesthesia PLLCGroup PAC ID 0446558134, 7 clinicians

Practice addresses (Care Compare)

1600 W 40TH Ave
Pine Bluff, AR 71603-6301
Phone (870) 541-7100

2 Saint Vincent Cir
Little Rock, AR 72205-5423
Phone (501) 552-4666

3215 N N Hills Blvd
Fayetteville, AR 72703-4424
Phone (479) 463-1000

4800 S Hazel St
Pine Bluff, AR 71603-6860
Phone (870) 534-5533

7709 Hwy 107
Sherwood, AR 72120-4661
Phone (501) 552-7269

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C01506ARMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
St. Vincent Medical Group CurrentSince Jan 1, 2024 Accepting new patients
Jefferson Regional Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2018 Accepting new patients
Arkansas Surgical Hospital, LLC CurrentSince Apr 1, 2022 Accepting new patients
ASC Anesthesia, PLLC Nurse Anesthetist, Certified Registered CurrentSince May 6, 2024 Accepting new patients
Arkansas Surgical Hospital, LLC Current Accepting new patients
Arkansas Health Group CurrentSince Jun 1, 2022 Accepting new patients
Southern Regional Anesthesiology Consultants PLLC CurrentSince Mar 1, 2023 Accepting new patients
Youngs Professional Services LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2022 Accepting new patients
Premier Anesthesia of Arkansas Professional Corporation Nurse Anesthetist, Certified Registered CurrentSince Feb 10, 2016 Accepting new patients
Arkansas Health Group CurrentSince Jun 1, 2022 Accepting new patients
South Ark Ear Nose &Throat Clinic P a Past Accepting new patients
Texas Anesthesia Specialists PA Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

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

3215 N Northhills Blvd
Fayetteville, AR 72703
Phone (479) 463-1025

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

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

14918 Cantrell Rd
Little Rock, AR 72223
Phone (501) 663-4747

16221 Saint Vincent Way
Little Rock, AR 72223
Phone (501) 221-0888

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

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

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

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

3401 Springhill Dr
Ste 155
North Little Rock, AR 72117
Phone (501) 945-5800

5201 Northshore Dr
North Little Rock, AR 72118
Phone (501) 748-8000

5201 Northshore Dr
Ste 300
North Little Rock, AR 72118
Phone (501) 748-8000

1600 W 40th Ave
Pine Bluff, AR 71603
Phone (870) 541-7100

4800 S Hazel St
Pine Bluff, AR 71603
Phone (870) 534-5533

151 E Aspen Ln
Russellville, AR 72802
Phone (479) 967-1117

2655 Northwinds Pkwy
Alpharetta, GA 30009
Phone (678) 690-7804

Organizations & group practices 13

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 13

Hospital & facility affiliations 4

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": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653609600000",
    "number": "1407851439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1272",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716131272",
            "telephone_number": "870-535-7457",
            "fax_number": "870-535-2522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 W 40TH AVE",
            "address_2": "STE 2B",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716036957",
            "telephone_number": "870-535-7457",
            "fax_number": "870-535-2522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLE",
        "first_name": "LORI",
        "middle_name": "E",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-16",
        "last_updated": "2022-05-27",
        "certification_date": "2022-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AR",
            "license": "C01506",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMCR/PGBA",
            "identifier": "P00202215",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "156462001",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MCR",
            "identifier": "P00202215",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "5Y196",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pine Bluff, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2022; 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.