Active NPI
Eric Yeager, CRNA
- Certified Registered Nurse Anesthetist
- Vicksburg, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- A810666
- Practice address
- 2100 Highway 61 N
Vicksburg, MS 39183-8211 - Phone
- (601) 883-5708
- NPI assigned
- Jun 16, 2015
- Sex
- Male
- Sole proprietor
- Yes
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 | A810666 | MS | Primary |
Addresses
Primary practice location
2100 Highway 61 N
Vicksburg, MS 39183-8211
Mailing address
1116 Links Dr Apt 3
Jonesboro, AR 72404-0709
Phone (318) 348-5336
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS, LA
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2408 Broadmoor Blvd
Monroe, LA 71201-2994
Phone (318) 812-1760
309 Jackson St
Monroe, LA 71201-7407
Phone (318) 812-1760
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A810666 | MS | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northstar Anesthesia of Mississippi, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Endoscopy Center of Monroe | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
2100 Highway 61 N
Vicksburg, MS 39183
Phone (601) 883-5001
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
- Monroe, LA
- NPI 1730134636
-
- Anesthesiology Physician
- Natchez, MS
- NPI 1124415567
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Monroe, LA
- NPI 1437658275
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Monroe, LA
- NPI 1225031495
-
- General Acute Care Hospital
- Monroe, LA
- NPI 1295723229
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1434412800000",
"number": "1427439389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1116 LINKS DR APT 3",
"city": "JONESBORO",
"state": "AR",
"postal_code": "724040709",
"telephone_number": "318-348-5336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 HIGHWAY 61 N",
"city": "VICKSBURG",
"state": "MS",
"postal_code": "391838211",
"telephone_number": "601-883-5708"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YEAGER",
"first_name": "ERIC",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-06-16",
"last_updated": "2015-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MS",
"license": "A810666",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vicksburg, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2015; 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.