Individual provider Active NPI

Troy E Stiefvater, CRNA

  • Certified Registered Nurse Anesthetist
  • Little Rock, AR
National Provider Identifier
1164410544
Registry record updated Mar 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
C01310 Issued in AR
Practice address
11401 Interstate 30
Little Rock, AR 72209-7042
Phone
(501) 455-7100
NPI assigned
Oct 11, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X C01310 AR Primary

Addresses

Primary practice location

11401 Interstate 30
Little Rock, AR 72209-7042

Mailing address

PO Box 22390
Hot Springs, AR 71903-2390
Phone (800) 235-1415

Other identifiers 2

IdentifierTypeStateIssuer
P00266924OtherRR MEDICARE GROUP CK6327
5W501OtherARBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031206000031 AR Practitioner - Certified Registered Nurse Anesthetist (Crna) 3678478120 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
ASC Anesthesia PLLCGroup PAC ID 0446558134, 7 clinicians

Practice addresses (Care Compare)

14918 Cantrell Rd
Little Rock, AR 72223-4248
Phone (501) 663-4747

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C01310ARMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Arkansas Health Group CurrentSince Sep 1, 2017 Accepting new patients
ASC Anesthesia, PLLC Nurse Anesthetist, Certified Registered CurrentSince Feb 4, 2024 Accepting new patients
Arkansas Health Group CurrentSince Sep 1, 2017 Accepting new patients
Saline Physician Services, LLC Past Accepting new patients
Stuttgart Regional Medical Center Past Accepting new patients
Stuttgart Regional Medical Center Nurse Anesthetist, Certified Registered Past Accepting new patients
St Vincent Infirmary Medical Center PastSince Jan 1, 1990 Accepting new patients
Jefferson Anesthesiology Associates Past Accepting new patients
Ouachita Regional Anesthesia PLLC Past Accepting new patients

Locations

11401 Interstate 30
Little Rock, AR 72209
Phone (501) 321-1000

14918 Cantrell Rd
Little Rock, AR 72223
Phone (501) 663-4747

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

3333 Springhill Dr
North Little Rock, AR 72117
Phone (501) 202-3000

3333 Springhill Dr
Ste A
North Little Rock, AR 72117

4800 S Hazel St
Pine Bluff, AR 71603
Phone (870) 534-5533

1703 N Buerkle St
Stuttgart, AR 72160
Phone (870) 674-6301

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206662400000",
    "number": "1164410544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22390",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719032390",
            "telephone_number": "800-235-1415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11401 INTERSTATE 30",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722097042",
            "telephone_number": "501-455-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STIEFVATER",
        "first_name": "TROY",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-11",
        "last_updated": "2008-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AR",
            "license": "C01310",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE GROUP CK6327",
            "identifier": "P00266924",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "5W501",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2008; 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.