Individual provider Active NPI

Kellee Matlock, CRNA

  • Certified Registered Nurse Anesthetist
  • Little Rock, AR
National Provider Identifier
1174570238
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
C01294 Issued in AR
Practice address
10301 Kanis Rd
Little Rock, AR 72205-6205
Phone
(501) 227-7797
Fax
(501) 227-7753
NPI assigned
May 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 C01294 AR Primary

Addresses

Primary practice location

10301 Kanis Rd
Little Rock, AR 72205-6205

Mailing address

1415 Breckenridge Dr
Ste E
Little Rock, AR 72227-4819
Phone (501) 227-7797

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170809003039 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 4789661851 Reassigns benefits to 12 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texoma Anesthesia P.a.Group PAC ID 1759558547, 3 clinicians
Orthomed Staffing LLCGroup PAC ID 9638429178, 373 clinicians
Pax Healthcare AssociatesGroup PAC ID 5193228880, 17 clinicians

Practice addresses (Care Compare)

1001 Sara Swamy Dr
Suite 220
Sherman, TX 75090-3124
Phone (903) 892-1999

3901 W 15TH St
Plano, TX 75075-7738
Phone (972) 596-6800

4905 Rockrimmon CT
Colleyville, TX 76034-3548
Phone (214) 385-0865

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C01294ARMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthomed Staffing LLC CurrentSince Mar 31, 2021 Accepting new patients
Champion Anesthesia Consultants, PLLC CurrentSince Aug 7, 2017 Accepting new patients
Premier Interventional Pain Management, P.L.L.C CurrentSince May 28, 2017 Accepting new patients
Luxe Anesthesia, PLLC CurrentSince Jun 13, 2024 Accepting new patients
Spine Team Texas, PA CurrentSince May 28, 2020 Accepting new patients
Eagle Anesthesia PLLC CurrentSince Aug 14, 2017 Accepting new patients
SP Pain Partners, PLLC Nurse Anesthetist, Certified Registered CurrentSince Nov 27, 2018 Accepting new patients
DFW Oba PLLC CurrentSince Apr 27, 2022 Accepting new patients
Texas Anesthesia Partners, PLLC CurrentSince Jun 1, 2024 Accepting new patients
Premier Interventional Pain Management, P.L.L.C CurrentSince May 28, 2017 Accepting new patients
Texoma Anesthesia P.a. CurrentSince Apr 8, 2019 Accepting new patients
Spine Team Texas PA CurrentSince May 28, 2020 Accepting new patients
Synergy Anesthesia Management CurrentSince Jun 15, 2021 Accepting new patients
Valiant Anesthesia Associates, PLLC CurrentSince Mar 17, 2018 Accepting new patients
Pax Healthcare Associates CurrentSince Jul 12, 2025 Accepting new patients
Anesthesia Specialists of Arkansas PastSince Aug 13, 2015 Accepting new patients
BP Anesthesia, PLLC Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations (25 of 30)

17101 Dallas Pkwy
Addison, TX 75001
Phone (214) 696-8033

700 Highlander Blvd
Ste 415
Arlington, TX 76015
Phone (817) 330-1102

11990 N Central Expy
Dallas, TX 75243
Phone (469) 624-5752

14850 Quorum Dr
Ste 400
Dallas, TX 75254
Phone (214) 801-1879

2727 E Lemmon Ave
Dallas, TX 75204
Phone (214) 443-3000

7502 Greenville Ave
Dallas, TX 75231
Phone (469) 221-6000

9032 Harry Hines Blvd
Dallas, TX 75235
Phone (214) 231-2273

17980 Dallas Pkwy
Ste 100
Dallas, TX 75287
Phone (817) 556-8387

2321 Olympia Dr
Ste 100A
Flower Mound, TX 75028
Phone (972) 350-0225

2321 Olympia Dr
Ste 100
Flower Mound, TX 75028
Phone (972) 350-0225

5500 Frisco Square Blvd
Frisco, TX 75034
Phone (214) 618-0500

11500 State Highway 121
Ste 420
Frisco, TX 75035
Phone (469) 252-4777

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

2001 Hermann Dr
Houston, TX 77004
Phone (713) 285-5500

809 W Harwood Rd
Ste 101
Hurst, TX 76054
Phone (817) 283-5252

4700 Alliance Blvd
Plano, TX 75093
Phone (469) 814-2000

4708 Alliance Blvd
Ste 210
Plano, TX 75093
Phone (469) 800-6021

3901 W 15th St
Plano, TX 75075
Phone (972) 519-1115

6020 W Parker Rd
Ste 300
Plano, TX 75093
Phone (469) 200-6461

7211 Preston Rd
Ste 2100
Plano, TX 75024
Phone (469) 303-0104

811 S Central Expy
Ste 103
Richardson, TX 75080
Phone (972) 310-7121

990 S Sherman St
Richardson, TX 75081
Phone (972) 788-0350

3142 Horizon Rd
Ste 100
Rockwall, TX 75032
Phone (682) 651-1908

1001 Sara Swamy Dr
Ste 220
Sherman, TX 75090
Phone (903) 892-1999

100 W Lamberth Rd
Ste A
Sherman, TX 75092
Phone (903) 870-2347

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 4

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": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1174570238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 BRECKENRIDGE DR",
            "address_2": "STE E",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722274819",
            "telephone_number": "501-227-7797",
            "fax_number": "501-227-7753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10301 KANIS RD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056205",
            "telephone_number": "501-227-7797",
            "fax_number": "501-227-7753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATLOCK",
        "first_name": "KELLEE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-27",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AR",
            "license": "C01294",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 13, 2026; 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.