Jefferson Regional Anesthesia LLC
NPI 1205301587 · Certified Registered Nurse Anesthetist · Pine Bluff, AR
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jefferson Regional Anesthesia LLC is a Certified Registered Nurse Anesthetist organization in Pine Bluff, AR (NPI 1205301587).
Provider details
- NPI number
- 1205301587
- Entity type
- Organization
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Bryan Jackson, Cfo(870) 541-7370
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Anesthesiology Physician207L00000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2018-10-12
- Last updated
- 2018-10-12
Frequently asked questions
- What is Jefferson Regional Anesthesia LLC's NPI number?
- Jefferson Regional Anesthesia LLC's National Provider Identifier (NPI) is 1205301587, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jefferson Regional Anesthesia LLC?
- Jefferson Regional Anesthesia LLC is classified in the NPPES registry as Certified Registered Nurse Anesthetist (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Jefferson Regional Anesthesia LLC located?
- Jefferson Regional Anesthesia LLC's practice location on file with NPPES is 1600 W 40th Ave, Pine Bluff, AR 71603-6301.
- What is Jefferson Regional Anesthesia LLC's phone number?
- The practice phone number listed in the NPPES registry for Jefferson Regional Anesthesia LLC is (870) 541-7370.
- Does Jefferson Regional Anesthesia LLC accept Medicare?
- Jefferson Regional Anesthesia LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Jefferson Regional Anesthesia LLC?
- The authorized official listed on Jefferson Regional Anesthesia LLC's NPPES record is Bryan Jackson, Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jefferson Regional Anesthesia LLC's NPI active?
- Yes — Jefferson Regional Anesthesia LLC's NPI (1205301587) is active in the NPPES registry as of the last update on 2018-10-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.