Individual provider Active NPI

Jill A Parkman, CRNA

  • Certified Registered Nurse Anesthetist
  • Ruston, LA
National Provider Identifier
1750489365
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
084746 Issued in LA
Practice address
105 Stow Creek Rd
Ruston, LA 71270-1664
Phone
(318) 514-8701
NPI assigned
Sep 20, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 084746 LA Primary

Addresses

Primary practice location

105 Stow Creek Rd
Ruston, LA 71270-1664

Mailing address

105 Stow Creek Rd
Ruston, LA 71270-1664
Phone (318) 514-8701

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070102000081 LA Practitioner - Certified Registered Nurse Anesthetist (Crna) 9537129721 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arena Anesthesia LLCGroup PAC ID 4385795319, 9 clinicians
Smso Anesthesia, LLCGroup PAC ID 7012970627, 49 clinicians
M Kneeland LLCGroup PAC ID 2264976331, 8 clinicians

Practice addresses (Care Compare)

1200 S Farmerville St
Ruston, LA 71270-5941
Phone (318) 255-3690

1250 Pecanland Rd
Monroe, LA 71203-7011
Phone 50122707004000

2408 Broadmoor Blvd
Monroe, LA 71201-2994
Phone (318) 812-1760

2480 Hwy 33
Ruston, LA 71270-5093
Phone (318) 224-2404

309 Jackson St
Monroe, LA 71201-7407
Phone (318) 812-1760

401 E Vaughn Ave
Ruston, LA 71270-5950
Phone (318) 254-2454

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.8 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
72.66

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
084746LAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Arena Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 7, 2014 Accepting new patients
Anesthesia Dynamics LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2022 Accepting new patients
Jackson Parish Hospital CurrentSince Mar 1, 2023 Accepting new patients
Joseph E Humble and Raymond Haik, PTRS CurrentSince Sep 1, 2009 Accepting new patients
M Kneeland LLC CurrentSince Jul 1, 2025 Accepting new patients
Joseph E Humble and Raymond Haik, PTRS CurrentSince Sep 1, 2009 Accepting new patients
Endoscopy Center of Monroe CurrentSince Feb 1, 2023 Accepting new patients
Shreveport Sedation Associates LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 20, 2023 Accepting new patients
JP Anesthesia a Professional Corporation Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2023 Accepting new patients
Fontenot & McIntosh, LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Jackson Parish Hospital Past Accepting new patients
Twin City Anesthesia Past Accepting new patients
Endoscopy Center of Monroe Nurse Anesthetist, Certified Registered Past Accepting new patients
Sheridan Healthcare of Arkansas PA Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

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

165 Beech Springs Rd
Jonesboro, LA 71251
Phone (318) 259-4435

1250 Pecanland Rd
Monroe, LA 71203
Phone (318) 387-2015

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

2480 Highway 33
Ruston, LA 71270
Phone (318) 224-2404

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

3217 Mabel St
Shreveport, LA 71103

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

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

109 Regency Pl
West Monroe, LA 71291
Phone (318) 361-0581

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

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/21ed112e-ec5e-43b1-8ddc-cd3753841e6e/

Organizations & group practices 15

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 15

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750489365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 STOW CREEK RD",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712701664",
            "telephone_number": "318-514-8701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 STOW CREEK RD",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712701664",
            "telephone_number": "318-514-8701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKMAN",
        "first_name": "JILL",
        "middle_name": "A",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "LA",
            "license": "084746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ruston, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.