Individual provider Active NPI

Elijah Samuel Vincent, CRNA

  • Certified Registered Nurse Anesthetist
  • North Platte, NE
National Provider Identifier
1932694346
Registry record updated Jun 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
101500 Issued in NE
Practice address
601 W Leota St
North Platte, NE 69101-6525
Phone
(308) 568-8000
NPI assigned
Jun 27, 2018
Last updated
Jun 9, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2025

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 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, LA4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20180801000658 NE Practitioner - Certified Registered Nurse Anesthetist (Crna) 1456609833 Reassigns benefits to 1 organization
I20210610002943 KS Practitioner - Certified Registered Nurse Anesthetist (Crna) 1456609833 Reassigns benefits to 8 organizations
I20250410000463 AR Practitioner - Certified Registered Nurse Anesthetist (Crna) 1456609833 Reassigns benefits to 1 organization
I20260413001071 LA Practitioner - Certified Registered Nurse Anesthetist (Crna) 1456609833 Reassigns benefits to 1 organization

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
Riverside Anesthesia LLCGroup PAC ID 3476527946, 6 clinicians
Premier Anesthesia of Washington, PCGroup PAC ID 1153823083, 37 clinicians

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

LicenseStateTypeSpecialty
101500NEMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Salina Surgical Center, LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2026 Accepting new patients
North Platte Nebraska Hospital Corporation CurrentSince Jul 30, 2018 Accepting new patients
Anesthesia Associates of Central Kansas, P.a. CurrentSince Feb 17, 2025 Accepting new patients
Premier Anesthesia of Washington, PC Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2025 Accepting new patients
Mitchell County Hospital Health Systems Nurse Anesthetist, Certified Registered CurrentSince Apr 11, 2025 Accepting new patients
Clay County Medical Center Nurse Anesthetist, Certified Registered Current Accepting new patients
Manhattan Surgical Hospital LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2024 Accepting new patients
Mitchell County Hospital Health Systems CurrentSince Apr 11, 2025 Accepting new patients
Sweet Dreams Anesthesia Inc Nurse Anesthetist, Certified Registered CurrentSince May 1, 2021 Accepting new patients
Sgoh Acquisition Inc CurrentSince Mar 28, 2025 Accepting new patients
Sgoh Acquisition Inc CurrentSince Mar 28, 2025 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

  • FHIR API: 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.

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": "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

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.

Verify at the official NPI Registry.