Individual provider Active NPI

Michelle Lacroix Warden, M.D.

  • Diagnostic Radiology Physician
  • Batesville, AR
National Provider Identifier
1104855642
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
E4891 Issued in AR
Practice address
1710 Harrison St
White River Medical Center
Batesville, AR 72501-7303
Phone
(870) 262-3125
Fax
(870) 793-8002
NPI assigned
Jun 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X E4891 AR Primary

Addresses

Primary practice location

1710 Harrison St
White River Medical Center
Batesville, AR 72501-7303

Mailing address

1490 Byers St
Batesville, AR 72501-5831
Phone (870) 793-2207

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061018000665 AR Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 5698771475 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Interventional Radiology
Education
University of Arkansas College of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Arkansas RadiologyGroup PAC ID 0648372763, 27 clinicians

Practice addresses (Care Compare)

1490 Byers St
Batesville, AR 72501-5831
Phone (870) 793-2207

1710 Harrison St
Batesville, AR 72501-7303
Phone (870) 262-1200

Hospital & facility affiliations

  • White River Medical Center Hospital, Batesville, AR, CCN 040119
  • Stone County Medical Center Hospital, Mountain View, AR, CCN 041310

Merit-based Incentive Payment System (MIPS)

Final score
86.17 of 100Reported as group
Quality
69.23
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
E4891ARMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Arkansas Radiology Diagnostic Radiology CurrentSince Jul 1, 2006 Accepting new patients

Locations

1710 Harrison St
Batesville, AR 72501
Phone (870) 262-1240

1490 Byers St
Batesville, AR 72501
Phone (870) 793-2207

2106 E Main St
Mountain View, AR 72560
Phone (870) 262-5056

Organizations & group practices 1

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

Hospital & facility affiliations 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104855642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1490 BYERS ST",
            "city": "BATESVILLE",
            "state": "AR",
            "postal_code": "725015831",
            "telephone_number": "870-793-2207",
            "fax_number": "870-793-8002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 HARRISON ST",
            "address_2": "WHITE RIVER MEDICAL CENTER",
            "city": "BATESVILLE",
            "state": "AR",
            "postal_code": "725017303",
            "telephone_number": "870-262-3125",
            "fax_number": "870-793-8002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARDEN",
        "first_name": "MICHELLE",
        "middle_name": "LACROIX",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AR",
            "license": "E4891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Batesville, AR

Sources for this page

Verify at the official NPI Registry.