Dr Ethan Taylor Lewis, DNP - Medicare Certified Registered Nurse Anesthetist (crna) in Little Rock, AR

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Dr Ethan Taylor Lewis, DNP is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Little Rock, Arkansas. He graduated from nursing school in 2023 and has 3 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Premier Anesthesia Of Arkansas Professional Corporation and his current practice location is 12921 Cantrell Rd, Little Rock, Arkansas. You can reach out to his office (for appointments etc.) via phone at (501) 615-8296.

Dr Ethan Taylor Lewis is licensed to practice in Arkansas (license number 228423) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1013690288.

Contact Information

Dr Ethan Taylor Lewis, DNP
12921 Cantrell Rd,
Little Rock, AR 72223-1713
(501) 615-8296
Not Available

Map and Direction




Provider's Profile

Full NameDr Ethan Taylor Lewis
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience3 Years
Location12921 Cantrell Rd, Little Rock, Arkansas
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Ethan Taylor Lewis graduated from nursing school in 2023
  NPI Data:
  • NPI Number: 1013690288
  • Provider Enumeration Date: 08/14/2023
  • Last Update Date: 12/10/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 1355797150
  • Enrollment ID: I20241112002222

Medical Identifiers

Medical identifiers for Dr Ethan Taylor Lewis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013690288NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse R108058 (Arkansas)Secondary
367500000XNurse Anesthetist, Certified Registered 228423 (Arkansas)Primary
367500000XNurse Anesthetist, Certified Registered 1138854 (Texas)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Washington Regional Medical CenterFayetteville, ARHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Premier Anesthesia Of Arkansas Professional Corporation640607746087

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Ethan Taylor Lewis allows following entities to bill medicare on his behalf.
Entity NameAnesthesia Services of Benton County PA
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013084482
PECOS PAC ID: 2264405844
Enrollment ID: O20040813000287
Entity NameBaxter County Regional Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114178753
PECOS PAC ID: 0042389264
Enrollment ID: O20081212000269
Entity NamePremier Anesthesia of Arkansas Professional Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932519485
PECOS PAC ID: 6406077460
Enrollment ID: O20141016002060
Entity NameRenew Medical Group of Arkansas Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215755947
PECOS PAC ID: 3173056298
Enrollment ID: O20241029000873

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Ethan Taylor Lewis is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Ethan Taylor Lewis, DNP
12921 Cantrell Rd,
Little Rock, AR 72223-1713

Ph: (501) 615-8296		Dr Ethan Taylor Lewis, DNP
12921 Cantrell Rd,
Little Rock, AR 72223-1713

Ph: (501) 615-8296

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Little Rock, AR

Benjamin Mizell, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 9601 Baptist Health Dr, Little Rock, AR 72205
Phone: 501-202-2093    Fax: 501-202-6316
Ms. Tarah Adrianne Elrod, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 4301 W Markham St # 515, Little Rock, AR 72205
Phone: 501-686-8000    Fax: 501-526-5148
Kasia Pabian, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 2018 N Garfield St, Little Rock, AR 72207
Phone: 501-614-9998    Fax: 501-325-1491
John W Woodell, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 4200 N Rodney Parham Rd, No 203, Little Rock, AR 72212
Phone: 615-620-2320    Fax: 615-620-2323
Barbara C Lenarduzzi, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 11401 Interstate 30, Little Rock, AR 72209
Phone: 501-455-7100    
Brent Anthony Lea,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 4301 W Markham St # 515, Little Rock, AR 72205
Phone: 501-686-6114    Fax: 501-686-8139
Anthony L Bridges, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 9601 Baptist Health Dr, Little Rock, AR 72205
Phone: 501-202-2093    Fax: 501-202-6316

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.