Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dennis William Jacks, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1063790079

Dennis William Jacks, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Little Rock, Arkansas. Qualified in 2011, 15 years ago. Practices with Arkansas Anesthesia Associates PLLC, a 83-clinician group and accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
15
Licensed in
AR
In the registry since
2011
Specialties on file
2
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

6119 Midtown Ave Ste 201
Little Rock, AR 72205-5313
Phone: (501) 664-4532
Fax: (501) 663-4335
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence C002870 (AR)
Registered Nurse Taxonomy 163W00000X · Licence R070488 (AR)

Record details

NPI number1063790079
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedJuly 25, 2011
Last updated in NPPESJune 16, 2015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Arkansas Anesthesia Associates Pllc — 83 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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