John Mark Rutter, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

126169 Issued in AR

Practice address

225 E Jackson Ave
Jonesboro, AR 72401-3119

Phone

(870) 207-4100

NPI assigned

Mar 30, 2019

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mississippi County Hospital SystemGroup PAC ID 9739230723, 17 clinicians

Jonesboro Anesthesia IncGroup PAC ID 6709798077, 60 clinicians

Lifelinc Anesthesia V, P.a.Group PAC ID 8921359712, 41 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Bernards Medical Center Hospital, Jonesboro, AR, CCN 040020
• Baptist Memorial Hospital Jonesboro, Inc. Hospital, Jonesboro, AR, CCN 040118
• Great River Medical Center Hospital, Blytheville, AR, CCN 040069

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

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.

• Jonesboro Anesthesia Inc

  • Anesthesiology Physician
  • Jonesboro, AR
  • NPI 1043228448

  AR

  Medicare reassignment Care Compare group NPD
• Lifelinc Anesthesia V, P.a.

  • Anesthesiology Physician
  • West Memphis, AR
  • NPI 1063907244

  AR, Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Mississippi County Hospital System

  • Anesthesiology Physician
  • Blytheville, AR
  • NPI 1376844878

  AR, Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Western Arkansas Anesthesiology Associates P.a.

  • Anesthesiology Physician
  • Fort Smith, AR
  • NPI 1548202294

  AR

  Medicare reassignment NPD
• Western Arkansas Obstetric Anesthesia LLC

  • Anesthesiology Physician
  • Fort Smith, AR
  • NPI 1952671703

  AR

  Medicare reassignment NPD
• Mississippi County Hospital System

  • Rural Health Clinic/Center
  • Osceola, AR
  • NPI 1073129755
  Care Compare group
• Mississippi County Hospital System

  • Emergency Medicine Physician
  • Blytheville, AR
  • NPI 1164720868
  Care Compare group
• Mississippi County Hospital System

  • General Acute Care Hospital
  • Blytheville, AR
  • NPI 1316180748
  Care Compare group
• Mississippi County Hospital System

  • Rural Health Clinic/Center
  • Blytheville, AR
  • NPI 1669089462
  Care Compare group
• Ans Services of Arkansas PA

  • Anesthesiology Physician
  • Fort Smith, AR
  • NPI 1699558387
  NPD
• Mississippi County Hospital System

  • Rural Health Clinic/Center
  • Blytheville, AR
  • NPI 1124634738
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Baptist Memorial Hospital-Jonesboro Inc

  • General Acute Care Hospital
  • Jonesboro, AR
  • NPI 1386699353

  Hospital

  Care Compare affiliation
• Mississippi County Hospital System

  • General Acute Care Hospital
  • Blytheville, AR
  • NPI 1316180748

  Hospital

  Care Compare affiliation
• St Bernards Hospital Inc

  • General Acute Care Hospital
  • Jonesboro, AR
  • NPI 1922043686

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1553904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628640000000",
    "number": "1972064954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 BOULDER CV",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724049339",
            "telephone_number": "870-834-9777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 E JACKSON AVE",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724013119",
            "telephone_number": "870-207-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUTTER",
        "first_name": "JOHN",
        "middle_name": "MARK",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-30",
        "last_updated": "2021-08-11",
        "certification_date": "2021-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AR",
            "license": "126169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Russell
• Natashia Russell
• Shelby Russell
• Taylor Justine Rutherford, DO
• Desiree' Rutter, EDD, CALT, DT
• Anna Ryan
• Bret J Ryan, LMSW
• Connie Ryan, LCSW, LADAC
• Christopher Charles Ryen, D.O.
• Sandra Ryherd-Niemeyer, MCD, CCC-SLP

• All providers in Jonesboro, AR
• Certified Registered Nurse Anesthetist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2021; 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.