JAN GORMAN – Certified Registered Nurse Anesthetist, NPI 1699824201

JAN GORMAN is a healthcare provider. based in Warren, Arkansas. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold a License No. C01169 (AR). The NPI Number for JAN GORMAN is 1699824201

Main info

Female
Sole Proprietor
27 Years Of Experience
Accepts Medicare Assignment
Name
JAN GORMAN
NPI
1699824201
Phone
Not provided
Address
404 S BRADLEY ST
Enumeration Date
10 January 2007
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6156202320
Graduation Year
1999 (27 years ago)
PAC ID
9739103789
Group Practice PAC ID
6002210846
Professional Enrollment ID
I20060118000312
Address ID
AR721172934NO3401XDRXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

716 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in AR

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Provider Addresses for JAN GORMAN

  • Bradley County Medical Center, 404, South Bradley Street, Warren, Bradley County, Arkansas, 72671, United States

    WARREN, AR 716713459

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2006-01-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20060118000312ICertified Registered Nurse Anesthetist (Crna)ARTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00142Anesthesia for lens surgery4136$0
00140Anesthesia for other procedure on eye1514$0
00300Anesthesia for other procedure on skin, muscles, or nerves of head, neck, and upper back1212$0
View full utilization report →

Insurance plans in this area (ZIP 71671)

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Provider's Procedures

JAN GORMAN performs procedures in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CERTIFIED REGISTERED NURSE ANESTHETAR00142Anesthesia for lens surgery6658

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6002210846View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)AR
Certified Registered Nurse Anesthetist (Crna)AR
Certified Registered Nurse Anesthetist (Crna)AR
Certified Registered Nurse Anesthetist (Crna)AR
Certified Registered Nurse Anesthetist (Crna)AR
Certified Registered Nurse Anesthetist (Crna)AR
Certified Registered Nurse Anesthetist (Crna)AR
Certified Registered Nurse Anesthetist (Crna)AR
Certified Registered Nurse Anesthetist (Crna)AR
Certified Registered Nurse Anesthetist (Crna)MO

Reviews

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Frequently asked questions

What unique ID ties claims to JAN GORMAN?
NPI 1699824201 is assigned to JAN GORMAN under the national enumeration system.
Is JAN GORMAN's NPI currently valid?
The extract we use shows JAN GORMAN as active.
What kind of provider is JAN GORMAN?
The page reflects Certified Registered Nurse Anesthetist for JAN GORMAN. Clinical services aligned with this taxonomy classification.
Where does public data place JAN GORMAN?
The snapshot lists Warren, Arkansas for JAN GORMAN; download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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