Individual provider Active NPI

John Bruce Fortner Jr., CRNA

  • Certified Registered Nurse Anesthetist
  • Sidney, NE
National Provider Identifier
1972738987
Registry record updated Feb 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
229732 Issued in AR
Practice address
1000 Pole Creek Crossing
Sidney, NE 69162-2900
Phone
(308) 254-5825
NPI assigned
May 19, 2009
Last updated
Feb 16, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 229732 AR Primary
Certified Registered Nurse Anesthetist 367500000X 101556 NE
Certified Registered Nurse Anesthetist 367500000X 229732 MO

Addresses

Primary practice location

1000 Pole Creek Crossing
Sidney, NE 69162-2900

Mailing address

103 Washington Cir
Senath, MO 63876-9219
Phone (573) 738-2199

Other practice location 1

1100 N Kentucky Ave
West Plains, MO 65775-2029
Phone (417) 256-9111 ext. 69111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, NE, VA, ND4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20130911000817 MO Practitioner - Certified Registered Nurse Anesthetist (Crna) 0446304638 Reassigns benefits to 1 organization
I20200229000182 NE Practitioner - Certified Registered Nurse Anesthetist (Crna) 0446304638 Reassigns benefits to 1 organization
I20240524002872 VA Practitioner - Certified Registered Nurse Anesthetist (Crna) 0446304638
I20240809002898 ND Practitioner - Certified Registered Nurse Anesthetist (Crna) 0446304638 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ozarks Medical CenterGroup PAC ID 3870491863, 166 clinicians
St. Joseph's Hospital and Health CenterGroup PAC ID 0547177560, shared by 3 NPIs, 157 clinicians

Practice addresses (Care Compare)

1100 N Kentucky Ave
West Plains, MO 65775-2029
Phone 41725691116036

2500 Fairway St
Dickinson, ND 58601-2639
Phone (701) 456-4000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
229732MOMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
St. Joseph's Hospital and Health Center CurrentSince Jul 22, 2024 Accepting new patients
Ozarks Medical Center CurrentSince Jan 26, 2026 Accepting new patients
North Arkansas Regional Medical Center CurrentSince Oct 6, 2025 Accepting new patients
Cheyenne County Hospital Association Inc CurrentSince Feb 17, 2020 Accepting new patients
Cheyenne County Hospital Association CurrentSince Feb 17, 2020 Accepting new patients
St. Joseph's Hospital and Health Center CurrentSince Jul 22, 2024 Accepting new patients
North Arkansas Regional Medical Center CurrentSince Oct 6, 2025 Accepting new patients
St Joseph's Hospital and Health Center Current Accepting new patients
Ozarks Medical Center CurrentSince Jan 26, 2026 Accepting new patients
St. Joseph's Hospital and Health Center Current Accepting new patients
Clinical Partners PA Nurse Anesthetist, Certified Registered Past Accepting new patients
Clinical Associates, Inc Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

620 N Main St
#2
Harrison, AR 72601
Phone (870) 414-4000

620 N Willow St
Harrison, AR 72601
Phone (870) 365-2000

7360 Solutions Ctr
Chicago, IL 60677
Phone (701) 237-8033

3100 Oak Grove Rd
Rombauer, MO 63901
Phone (573) 776-2000

1008 N Main St
Sikeston, MO 63801
Phone (573) 471-1600

232 S Woods Mill Rd
Town and Country, MO 63017
Phone (314) 205-6030

1100 N Kentucky Ave
West Plains, MO 65775
Phone (417) 257-5959

2500 Fairway St
Dickinson, ND 58601
Phone (701) 456-4000

1000 Pole Creek Xing
Sidney, NE 69162
Phone (308) 254-5825

645 Osage St
Sidney, NE 69162
Phone (308) 254-5825

Organizations & group practices 12

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.

Hospital & facility affiliations 4

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": "1242691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771200000000",
    "number": "1972738987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 WASHINGTON CIR",
            "city": "SENATH",
            "state": "MO",
            "postal_code": "638769219",
            "telephone_number": "573-738-2199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 POLE CREEK CROSSING",
            "city": "SIDNEY",
            "state": "NE",
            "postal_code": "691622900",
            "telephone_number": "308-254-5825"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 N Kentucky Ave",
            "address_purpose": "LOCATION",
            "city": "West Plains",
            "state": "MO",
            "postal_code": "657752029",
            "country_code": "US",
            "telephone_number": "417-256-9111 x69111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FORTNER",
        "first_name": "JOHN",
        "middle_name": "BRUCE",
        "name_suffix": "Jr.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-05-19",
        "last_updated": "2026-02-16",
        "certification_date": "2026-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AR",
            "license": "229732",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NE",
            "license": "101556",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MO",
            "license": "229732",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sidney, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2026; 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.