Individual provider Active NPI

Jennifer S Morris, CRNA

  • Certified Registered Nurse Anesthetist
  • Forrest City, AR
National Provider Identifier
1902824170
Registry record updated Nov 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
C01532 Issued in AR
Practice address
1601 New Castle Rd
Forrest City, AR 72335-2218
Phone
(870) 261-0513
Fax
(870) 261-0535
NPI assigned
Jul 17, 2006
Last updated
Nov 29, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2019

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 C01532 AR Primary

Addresses

Primary practice location

1601 New Castle Rd
Forrest City, AR 72335-2218

Mailing address

PO Box 771522
Memphis, TN 38177-1522
Phone (901) 249-7668

Other practice location 1

1801 Martin Luther King Jr Dr
Helena, AR 72342-8998
Phone (870) 816-3780

Other identifiers 5

IdentifierTypeStateIssuer
157071001MedicaidAR
1902824170OtherARBAPTIST HEALTH SERVICES GROUP, INC
1902824170OtherTRICARE - SOUTH REGION
5Y423OtherARARKANSAS BLUE CROSS BLUE SHIELD
P01061008OtherARRAILROAD MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050727000465 AR Practitioner - Certified Registered Nurse Anesthetist (Crna) 0941238406 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rural Health Pain Management LLCGroup PAC ID 8921410341, 35 clinicians

Practice addresses (Care Compare)

1601 New Castle Rd
Forrest City, AR 72335-2218
Phone (901) 682-6828

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C01532ARMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Delta Memorial Hospital CurrentSince Nov 1, 2021 Accepting new patients
Mississippi County Hospital System CurrentSince May 7, 2024 Accepting new patients
Mississippi County Hospital System CurrentSince May 7, 2024 Accepting new patients
Rural Health Pain Management LLC CurrentSince Feb 24, 2022 Accepting new patients
Arkansas Surgical Hospital, LLC CurrentSince Jan 1, 2022 Accepting new patients
Delta Memorial Hospital Current Accepting new patients
Arkansas Surgical Hospital, LLC CurrentSince Jan 1, 2022 Accepting new patients
Arkansas Surgical Hospital, LLC Current Accepting new patients
Arkansas Anesthesia Associates, PLLC. CurrentSince Nov 15, 2021 Accepting new patients
Delta Memorial Hospital CurrentSince Nov 1, 2021 Accepting new patients

Locations

1100 Medical Dr
Blytheville, AR 72315
Phone (870) 762-6725

803 Highway 65 S
Dumas, AR 71639
Phone (870) 382-4400

811 Highway 65 S
Dumas, AR 71639
Phone (870) 382-4303

1601 New Castle Rd
Forrest City, AR 72335
Phone (870) 261-0000

1801 Martin Luther King Jr Dr
Helena, AR 72342
Phone (870) 338-5800

10301 Kanis Rd
Little Rock, AR 72205
Phone (501) 604-4151

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

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/deltamh-91f47cd8
  • Direct secure messaging: jennifer.morris.1@15274.direct.athenahealth.com
  • Direct secure messaging: jmorri48@yourcarecommunity.org

Organizations & group practices 11

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.

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": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574985600000",
    "number": "1902824170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 771522",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381771522",
            "telephone_number": "901-249-7668",
            "fax_number": "901-261-2542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 NEW CASTLE RD",
            "city": "FORREST CITY",
            "state": "AR",
            "postal_code": "723352218",
            "telephone_number": "870-261-0513",
            "fax_number": "870-261-0535"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1801 Martin Luther King Jr Dr",
            "address_purpose": "LOCATION",
            "city": "Helena",
            "state": "AR",
            "postal_code": "723428998",
            "country_code": "US",
            "telephone_number": "870-816-3780",
            "fax_number": "901-261-2542",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "JENNIFER",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2019-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AR",
            "license": "C01532",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "157071001",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BAPTIST HEALTH SERVICES GROUP, INC",
            "identifier": "1902824170",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE - SOUTH REGION",
            "identifier": "1902824170",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARKANSAS BLUE CROSS BLUE SHIELD",
            "identifier": "5Y423",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01061008",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Forrest City, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2019; 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.