Individual provider Active NPI

Kathryn Elizabeth Metcalf

  • Certified Registered Nurse Anesthetist
  • Fort Smith, AR
National Provider Identifier
1083093058
Registry record updated Dec 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
C003089 Issued in AR
Practice address
5604 Williamson PL
Fort Smith, AR 72916-8415
Phone
(501) 358-9758
NPI assigned
May 23, 2015
Last updated
Dec 28, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 28, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X C003089 AR Primary
Registered Nurse 163W00000X R086327 AR

Addresses

Primary practice location

5604 Williamson PL
Fort Smith, AR 72916-8415

Mailing address

5604 Williamson PL
Fort Smith, AR 72916-8415
Phone (501) 358-9758

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150818003920 AR Practitioner - Certified Registered Nurse Anesthetist (Crna) 9638484843 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Frontier Anesthesia Services, LLCGroup PAC ID 1951716422, 3 clinicians
Renew Medical Group of Arkansas LTDGroup PAC ID 3173056298, 129 clinicians

Practice addresses (Care Compare)

3314 S 70TH St
Fort Smith, AR 72903-5052
Phone (479) 424-2744

7301 Rogers Ave
Fort Smith, AR 72903-4100
Phone (479) 314-6000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
R086327ARMDRegistered Nurse
C003089ARMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Stacy R Tait PA CurrentSince Apr 1, 2025 Accepting new patients
Renew Medical Group of Arkansas LTD Nurse Anesthetist, Certified Registered CurrentSince Nov 15, 2024 Accepting new patients
Frontier Anesthesia Services, LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2024 Accepting new patients
Access Healthcare Staffing Solutions, PLLC Nurse Anesthetist, Certified Registered CurrentSince Jan 15, 2025 Accepting new patients
Arkansas Health Group CurrentSince Jan 6, 2021 Accepting new patients
Ans Services of Arkansas PA CurrentSince Dec 1, 2023 Accepting new patients
Arkansas Health Group CurrentSince Jan 6, 2021 Accepting new patients

Locations

1001 Towson Ave
Fort Smith, AR 72901
Phone (479) 441-3980

2712 Market Trce
Unit 180987
Fort Smith, AR 72918
Phone (888) 848-4323

3002 Rogers Ave
Fort Smith, AR 72901
Phone (479) 782-8892

3314 S 70th St
Fort Smith, AR 72903
Phone (479) 424-2744

7301 Rogers Ave
Fort Smith, AR 72903
Phone (479) 314-4600

11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215

211 Crawford Memorial Dr
Van Buren, AR 72956
Phone (479) 471-4300

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1432339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609113600000",
    "number": "1083093058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5604 WILLIAMSON PL",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729168415",
            "telephone_number": "501-358-9758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5604 WILLIAMSON PL",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729168415",
            "telephone_number": "501-358-9758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "METCALF",
        "first_name": "KATHRYN",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-23",
        "last_updated": "2020-12-28",
        "certification_date": "2020-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AR",
            "license": "C003089",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AR",
            "license": "R086327",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Smith, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.