Individual provider Active NPI

Mark D Adkins, CRNA

  • Certified Registered Nurse Anesthetist
  • Jonesboro, AR
National Provider Identifier
1912910290
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
C01477 Issued in AR
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

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 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

IdentifierTypeStateIssuer
5X685OtherARBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 LLCGroup PAC ID 8921410341, 35 clinicians
Lifelinc Anesthesia V, P.a.Group PAC ID 8921359712, 41 clinicians

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 Hospital, Forrest City, AR, CCN 040019

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C01477ARMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Rural Health Pain Management LLC CurrentSince Feb 24, 2022 Accepting new patients
Pain & the Gas, LLC Nurse Anesthetist, Certified Registered CurrentSince May 24, 2018 Accepting new patients
Lifelinc Anesthesia V, P.a. Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2020 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.

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": "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.

Verify at the official NPI Registry.