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

Nicholas Hogan

Individual provider Certified Registered Nurse Anesthetist · NPI 1427611227

Nicholas Hogan is a Certified Registered Nurse Anesthetist (CRNA) in Jonesboro, Arkansas. Qualified in 2019, 7 years ago. Practices with Main Street Anesthesia of New Mexico, LLC, a 228-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arkansas and Missouri.

Years since qualifying
7
Licensed in
AR, MO
In the registry since
2019
Specialties on file
3
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Practice location Address checks out

1515 Flint St
Jonesboro, AR 72401-4911
Phone: (979) 583-7148
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1102 W 32nd St, Joplin, MO 64804-3503 — (417) 347-6671

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 120419 (AR)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 2024049483 (MO)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1427611227
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 17, 2019
Last updated in NPPESJanuary 20, 2025
Certification dateJanuary 20, 2025

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Main Street Anesthesia Of New Mexico, Llc — 228 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Jonesboro