Active NPI
Elijah Samuel Vincent, CRNA
- Certified Registered Nurse Anesthetist
- North Platte, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 101500
- Practice address
- 601 W Leota St
North Platte, NE 69101-6525 - Phone
- (308) 568-8000
- NPI assigned
- Jun 27, 2018
- Last updated
- Jun 9, 2025
- Sex
- Male
- Sole proprietor
- No
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 | 101500 | NE | Primary |
Addresses
Primary practice location
601 W Leota St
North Platte, NE 69101-6525
Mailing address
17118 Sills Dr
Prairieville, LA 70769-3494
Phone (225) 939-1038
Other practice location 1
1101 Jackson St SW
Gravette, AR 72736-9121
Phone (479) 787-5291
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE, KS, AR, LA
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2106 Loop Rd
Winnsboro, LA 71295-3344
Phone (318) 282-8482
400 S Santa Fe Ave
Salina, KS 67401-4144
Phone (678) 690-7816
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 101500 | NE | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Salina Surgical Center, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| North Platte Nebraska Hospital Corporation | Current | Accepting new patients | |
| Anesthesia Associates of Central Kansas, P.a. | Current | Accepting new patients | |
| Premier Anesthesia of Washington, PC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Mitchell County Hospital Health Systems | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Clay County Medical Center | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Manhattan Surgical Hospital LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Mitchell County Hospital Health Systems | Current | Accepting new patients | |
| Sweet Dreams Anesthesia Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Sgoh Acquisition Inc | Current | Accepting new patients | |
| Sgoh Acquisition Inc | Current | Accepting new patients | |
| North Platte Nebraska Hospital Corporation | Current | Accepting new patients | |
| Clay County Medical Center | Past | Accepting new patients |
Locations
1101 Jackson St SW
Gravette, AR 72736
Phone (479) 787-5221
2655 Northwinds Pkwy
Alpharetta, GA 30009
Phone (678) 690-7804
400 W 8th St
Beloit, KS 67420
Phone (785) 738-2266
617 Liberty St
Clay Center, KS 67432
Phone (785) 632-2144
1102 Saint Marys Rd
Junction City, KS 66441
Phone (785) 238-0325
1829 College Ave
Manhattan, KS 66502
Phone (785) 776-5100
200 S 5th St
Ste A
Salina, KS 67401
Phone (785) 827-2238
400 S Santa Fe Ave
Salina, KS 67401
Phone (785) 452-6019
401 S Santa Fe Ave
Salina, KS 67401
Phone (785) 452-6440
601 W Leota St
North Platte, NE 69101
Phone (308) 534-2288
2601 N Spruce St
Ogallala, NE 69153
Phone (308) 284-3645
2601 N Spruce St
#A
Ogallala, NE 69153
Phone (308) 284-4011
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/85e4e207-a7a6-47a1-8e35-8e04fe8019c4/
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Salina, KS
- NPI 1194617043
Nurse Anesthetist, Certified Registered
-
- Technician
- Winnsboro, LA
- NPI 1518918556
-
dba Great Plains Health
- General Acute Care Hospital
- North Platte, NE
- NPI 1700855533
-
- Anesthesiology Physician
- Salina, KS
- NPI 1164494084
-
- Critical Access Hospital
- Clay Center, KS
- NPI 1265485817
Nurse Anesthetist, Certified Registered
-
dba Manhattan Surgical Pain Management Clinic
- Hospitalist Physician
- Manhattan, KS
- NPI 1326692070
Nurse Anesthetist, Certified Registered
-
dba CRNA Group
- Certified Registered Nurse Anesthetist
- Beloit, KS
- NPI 1245369511
Nurse Anesthetist, Certified Registered
-
- Critical Access Hospital
- Beloit, KS
- NPI 1427151992
-
- Certified Registered Nurse Anesthetist
- Salina, KS
- NPI 1073480257
Nurse Anesthetist, Certified Registered
-
dba Ozarks Community Hospital of Gravette
- Critical Access Hospital
- Gravette, AR
- NPI 1568643005
-
- Certified Registered Nurse Anesthetist
- Chattanooga, TN
- NPI 1508133497
KS, Nurse Anesthetist, Certified Registered
-
dba Great Plains Health
- Medical Oncology Physician
- North Platte, NE
- NPI 1134355332
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Salina, KS
- NPI 1689635138
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749427200000",
"number": "1932694346",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17118 SILLS DR",
"city": "PRAIRIEVILLE",
"state": "LA",
"postal_code": "707693494",
"telephone_number": "225-939-1038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 W LEOTA ST",
"city": "NORTH PLATTE",
"state": "NE",
"postal_code": "691016525",
"telephone_number": "308-568-8000"
}
],
"practiceLocations": [
{
"address_1": "1101 Jackson St SW",
"address_purpose": "LOCATION",
"city": "Gravette",
"state": "AR",
"postal_code": "727369121",
"country_code": "US",
"telephone_number": "479-787-5291",
"fax_number": "479-344-6404",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VINCENT",
"first_name": "ELIJAH",
"middle_name": "SAMUEL",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-06-27",
"last_updated": "2025-06-09",
"certification_date": "2025-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NE",
"license": "101500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Platte, NE
- Daibeliz Tamara Vega Gonzalez, MSPAS, PA-C, ATC
- Abigail J Vieyra
- Chris Vieyra
- Erin Lyn Vieyra
- Nickole Vigil
- Victoria Volkman, MLMHP
- Christine Louise Voshell
- VSL North Platte Court LLC (Linden Court)
- VSL North Platte Estates LLC (Linden Estates)
- VSL Vetter Home Health Care of North Platte LLC (Brookestone Home Health & Hospice)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2025; 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.