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

Mr. John Robert Wyatt Jr., CRNA

Individual provider Registered Nurse · NPI 1205106523

Mr. John Robert Wyatt Jr., CRNA is registered under Certified Registered Nurse Anesthetist (CRNA) in Paragould, Arkansas. Qualified in 2011, 15 years ago. Practices with Rural Health Pain Management LLC, a 36-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arkansas, Missouri, Mississippi and Tennessee.

Years since qualifying
15
Licensed in
AR, MO, MS, TN
In the registry since
2012
Specialties on file
5
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

900 W Kingshighway
Paragould, AR 72450
Phone: (870) 239-7000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1755 Kirby Pkwy Ste 330, Memphis, TN 38120-4398 — (901) 725-5846

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence C002963 (AR)
Registered Nurse Taxonomy 163W00000X · Licence R077091 (AR)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 2024036785 (MO)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 810543 (MS)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 16514 (TN)

Record details

NPI number1205106523
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedJanuary 3, 2012
Last updated in NPPESOctober 2, 2024
Certification dateOctober 2, 2024

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 Rural Health Pain Management Llc — 36 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

  • Poplar Bluff Regional Medical Center Hospital · Poplar Bluff, MO

Colleagues at Rural Health Pain Management LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 36 clinicians in the practice; 12 are shown here.

Other providers in Paragould