Active NPI
Billie Brewer, CRNA
- Certified Registered Nurse Anesthetist
- Benton, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 136774
- Practice address
- 1 Medical Park Dr
Benton, AR 72015-3353 - Phone
- (501) 776-6000
- NPI assigned
- Dec 27, 2021
- Last updated
- Dec 27, 2021
- Sex
- Female
- 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 | 136774 | AR | Primary |
Addresses
Primary practice location
1 Medical Park Dr
Benton, AR 72015-3353
Mailing address
2708 Valley FRG
Benton, AR 72015-2780
Phone (504) 251-2050
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Medical Park Dr
Benton, AR 72015-3353
Phone (501) 776-6000
1901 Encore Way
Bryant, AR 72019-8896
Phone (501) 326-6868
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 136774 | AR | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Anesthesia of Arkansas Professional Corporation | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
3215 N Northhills Blvd
Fayetteville, AR 72703
Phone (479) 463-1000
3271 N Wimberly Dr
Ste 1
Fayetteville, AR 72703
Phone (479) 404-2551
2655 Northwinds Pkwy
Alpharetta, GA 30009
Phone (678) 690-7804
Organizations & group practices 2
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.
-
- Anesthesiology Physician
- Benton, AR
- NPI 1497023360
-
- Anesthesiology Physician
- Fayetteville, AR
- NPI 1932519485
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Arkansas Heart Hospital Encore
- General Acute Care Hospital
- Bryant, AR
- NPI 1841898293
-
dba Saline Memorial Hospital
- General Acute Care Hospital
- Benton, AR
- NPI 1235111071
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1640563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640563200000",
"number": "1861152258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2708 VALLEY FRG",
"city": "BENTON",
"state": "AR",
"postal_code": "720152780",
"telephone_number": "504-251-2050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 MEDICAL PARK DR",
"city": "BENTON",
"state": "AR",
"postal_code": "720153353",
"telephone_number": "501-776-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BREWER",
"first_name": "BILLIE",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-12-27",
"last_updated": "2021-12-27",
"certification_date": "2021-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "AR",
"license": "136774",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Benton, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2021; 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.