Individual provider Active NPI

Jayme D Benjamin, CRNA

  • Certified Registered Nurse Anesthetist
  • North Little Rock, AR
National Provider Identifier
1902177348
Registry record updated Apr 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
222141 Issued in AR
Practice address
5201 Northshore Dr
North Little Rock, AR 72118-5312
Phone
(501) 748-8000
NPI assigned
Jan 17, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2024

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 222141 AR Primary

Addresses

Primary practice location

5201 Northshore Dr
North Little Rock, AR 72118-5312

Mailing address

124 Chambery Dr
Maumelle, AR 72113-7651

Other practice location 1

801 Cottage Dr
Little Rock, AR 72205-5400
Phone (501) 686-8818

Other practice location 2

4301 W Markham St # 531
Little Rock, AR 72205-7101
Phone (501) 686-8818

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120322000551 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 4486814845 Reassigns benefits to 2 organizations
I20230126003522 AR Practitioner - Certified Registered Nurse Anesthetist (Crna) 4486814845 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arkansas Surgical Hospital LLCGroup PAC ID 5496793390, 44 clinicians

Practice addresses (Care Compare)

5201 Northshore Dr
Suite 300
North Little Rock, AR 72118-5312
Phone (501) 748-8000

Hospital & facility affiliations

  • Arkansas Surgical Hospital Hospital, No Little Rock, AR, CCN 040147

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
222141ARMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
University of Arkansas for Medical Sciences CurrentSince May 3, 2024 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Nurse Anesthetist, Certified Registered CurrentSince Feb 6, 2012 Accepting new patients
Central Arkansas Radiation Therapy Institute Inc CurrentSince Apr 22, 2024 Accepting new patients
IV Anesthesia Services PLLC CurrentSince Jan 1, 2013 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Current Accepting new patients
University of Arkansas for Medical Sciences Current Accepting new patients
Central Arkansas Radiation Therapy Institute Inc CurrentSince Apr 22, 2024 Accepting new patients
University of Arkansas for Medical Science CurrentSince May 3, 2024 Accepting new patients
University of Arkansas for Medical Sciences Current Accepting new patients
University of Arkansas for Medical Sciences CurrentSince May 3, 2024 Accepting new patients
The University of Texas Southwestern Medical Center at Dallas CurrentSince Feb 6, 2012 Accepting new patients

Locations

2500 Highway 65 S
Clinton, AR 72031
Phone (501) 745-7000

8901 Carti Way
Little Rock, AR 72205
Phone 50190630003044

4301 W Markham St
#531
Little Rock, AR 72205
Phone (501) 686-5259

1 Childrens Way
Ste 653
Little Rock, AR 72202

4301 W Markham St
Little Rock, AR 72205
Phone (501) 603-1278

1 Childrens Way
#653
Little Rock, AR 72202
Phone (501) 614-2006

4301 W Markham St
#783
Little Rock, AR 72205
Phone (501) 603-1278

801 Cottage Dr
Little Rock, AR 72205
Phone (501) 686-8674

5327 N Central Expy
Ste 200
Dallas, TX 75205
Phone (214) 520-8235

3930 Crutcher St
Dallas, TX 75246
Phone (214) 520-8235

3000 N Interstate 35
Denton, TX 76201
Phone (469) 303-3591

5323 Harry Hines Blvd
Ut Southwest Medical Center, TX 75390

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 1

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": "1326758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1902177348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 CHAMBERY DR",
            "city": "MAUMELLE",
            "state": "AR",
            "postal_code": "721137651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5201 NORTHSHORE DR",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721185312",
            "telephone_number": "501-748-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "801 Cottage Dr",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722055400",
            "country_code": "US",
            "telephone_number": "501-686-8818",
            "fax_number": "501-526-7217",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4301 W Markham St # 531",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722057101",
            "country_code": "US",
            "telephone_number": "501-686-8818",
            "fax_number": "501-526-7217",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENJAMIN",
        "first_name": "JAYME",
        "middle_name": "D",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-17",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AR",
            "license": "222141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; 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.