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

Evan Cook

Individual provider Registered Nurse · NPI 1750127015

Evan Cook is a Certified Registered Nurse Anesthetist (CRNA) in Fayetteville, Arkansas. Qualified in 2024, 2 years ago. Practices with Premier Anesthesia of Arkansas Professional Corporation, a 88-clinician group and accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
2
Licensed in
AR
In the registry since
2024
Specialties on file
2
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Practice location Address checks out

3215 N Northhills Blvd
Fayetteville, AR 72703-4424
Phone: (479) 225-2699
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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 230421 (AR)
Registered Nurse Taxonomy 163W00000X · Licence R103213 (AR)

Record details

NPI number1750127015
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 6, 2024
Last updated in NPPESNovember 22, 2024
Certification dateNovember 22, 2024

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Premier Anesthesia Of Arkansas Professional Corporation — 88 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Fayetteville