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

Mr. Andrew Gazenko, CRNA

Individual provider Registered Nurse · NPI 1700242955

Mr. Andrew Gazenko, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Little Rock, Arkansas. Qualified in 2015, 11 years ago. Practices with Johnson Regional Medical Center, a 17-clinician group and accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
11
Licensed in
AR
In the registry since
2016
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 C003131 (AR)
Registered Nurse Taxonomy 163W00000X · Licence R099697 (AR)

Record details

NPI number1700242955
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedJanuary 4, 2016
Last updated in NPPESFebruary 18, 2016

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Johnson Regional Medical Center — 17 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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