Active NPI
Mark D Adkins, CRNA
- Certified Registered Nurse Anesthetist
- Jonesboro, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- C01477
- Practice address
- 909 Enterprise Dr
Jonesboro, AR 72401-9201 - Phone
- (870) 336-1100
- NPI assigned
- Aug 15, 2006
- 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 | C01477 | AR | Primary |
Addresses
Primary practice location
909 Enterprise Dr
Jonesboro, AR 72401-9201
Mailing address
39 County Road 967
Brookland, AR 72417-8799
Phone (870) 972-9594
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5X685 | Other | AR | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040513000037 | AR | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 3173513173 | Reassigns benefits to 6 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Rural Health Pain Management LLCLifelinc Anesthesia V, P.a.
Practice addresses (Care Compare)
1601 New Castle Rd
Forrest City, AR 72335-2218
Phone (901) 682-6828
4800 E Johnson Ave
Jonesboro, AR 72405-8413
Phone (870) 936-1000
Hospital & facility affiliations
- Forrest City Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C01477 | AR | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rural Health Pain Management LLC | Current | Accepting new patients | |
| Pain & the Gas, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Lifelinc Anesthesia V, P.a. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Northeast Arkansas Health System LLC | Past | Accepting new patients | |
| Jonesboro Anesthesia Inc | Past | Accepting new patients | |
| Baptist Memorial Hospital-Jonesboro Inc | Past | Accepting new patients | |
| Arkansas Methodist Hospital Corporation | Past | Accepting new patients |
Locations
1520 N Division St
Blytheville, AR 72315
Phone (870) 838-7300
1601 New Castle Rd
Forrest City, AR 72335
Phone (870) 261-0000
4800 E Johnson Ave
Jonesboro, AR 72405
Phone (870) 732-2100
160 Highway 201 N
Mountain Home, AR 72653
Phone (870) 508-2100
360 Highway 5 N
Mountain Home, AR 72653
Phone (870) 425-2277
900 W Kingshighway
Paragould, AR 72450
Phone (870) 239-7000
400 10th St E
Waconia, MN 55387
3340 Players Club Pkwy
Ste 350
Memphis, TN 38125
Phone (901) 207-2017
Organizations & group practices 10
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
- West Memphis, AR
- NPI 1063907244
AR, Nurse Anesthetist, Certified Registered
-
- Pain Medicine (Anesthesiology) Physician
- Forrest City, AR
- NPI 1265039556
AR
-
- Certified Registered Nurse Anesthetist
- Mountain Home, AR
- NPI 1881134369
AR, Nurse Anesthetist, Certified Registered
-
- Ambulance
- Paragould, AR
- NPI 1578633368
-
- General Acute Care Hospital
- Jonesboro, AR
- NPI 1386699353
-
- Anesthesiology Physician
- Jonesboro, AR
- NPI 1043228448
-
- Cardiovascular Specialist/Technologist
- Jonesboro, AR
- NPI 1750322087
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Forrest City, AR
- NPI 1811912009
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1912910290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39 COUNTY ROAD 967",
"city": "BROOKLAND",
"state": "AR",
"postal_code": "724178799",
"telephone_number": "870-972-9594"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "909 ENTERPRISE DR",
"city": "JONESBORO",
"state": "AR",
"postal_code": "724019201",
"telephone_number": "870-336-1100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADKINS",
"first_name": "MARK",
"middle_name": "D",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "AR",
"license": "C01477",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "5X685",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jonesboro, AR
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.