Shelli C Collins, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

C003199 Issued in AR

Practice address

9601 Baptist Health Dr
Little Rock, AR 72205-6321

Phone

(501) 202-2093

Fax

(501) 202-6316

NPI assigned

Dec 10, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

M Kneeland LLCGroup PAC ID 2264976331, 8 clinicians

Zephyr Anesthesia LLCGroup PAC ID 1658559125, 161 clinicians

Bayou Anesthesia Group LLCGroup PAC ID 0648456095, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations (25 of 31)

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.

• Bayou Anesthesia Group LLC

  • Certified Registered Nurse Anesthetist
  • Farmerville, LA
  • NPI 1528365947

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• M Kneeland LLC

  • Anesthesiology Physician
  • Ruston, LA
  • NPI 1194593269
  Medicare reassignment Care Compare group NPD
• Zephyr Anesthesia, LLC

  • Anesthesiology Physician
  • La Place, LA
  • NPI 1891087458

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Endoscopy Center of Monroe

  • Ambulatory Surgical Clinic/Center
  • Monroe, LA
  • NPI 1417957796
  Medicare reassignment NPD
• Orthomed Staffing LLC

  • Anesthesiology Physician
  • Addison, TX
  • NPI 1225514276

  LA

  Medicare reassignment NPD
• Smso Anesthesia, LLC

  • Anesthesiology Physician
  • Monroe, LA
  • NPI 1730134636
  Medicare reassignment NPD
• Harold J Bayonne Jr MD Apmc

  • Anesthesiology Physician
  • Monroe, LA
  • NPI 1356886774
  Medicare reassignment
• Endoscopy Center of Monroe

  • Certified Registered Nurse Anesthetist
  • Monroe, LA
  • NPI 1437658275

  Nurse Anesthetist, Certified Registered

  NPD
• Anesthesia Consultants of Dallas LLP

  • Anesthesiology Physician
  • Dallas, TX
  • NPI 1225298516
  NPD (past)
• Dallas Anesthesia & Pain Medicine Specialists LLP

  • Anesthesiology Physician
  • Dallas, TX
  • NPI 1346400645
  NPD (past)

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

{
    "created_epoch": "1260403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473292800000",
    "number": "1275862898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11001 EXECUTIVE CENTER DR",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722114316",
            "telephone_number": "501-202-2093",
            "fax_number": "501-202-6316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9601 BAPTIST HEALTH DR",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056321",
            "telephone_number": "501-202-2093",
            "fax_number": "501-202-6316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "SHELLI",
        "middle_name": "C",
        "name_prefix": "Ms.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-10",
        "last_updated": "2016-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MO",
            "license": "2010004414",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "AP123498",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AR",
            "license": "C003199",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "P01445979",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "328640304",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "600420027",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200446120A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8564UJ",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gary J Collins, MD
• Jamie Collins, PHARM D
• Karen Collins
• Krystal Collins, APRN
• Lahairoi Lasha Collins
• Taylor Collins
• Colonel Glenn Health and Rehab, LLC
• Morgan Dyanne Colson, MSN, FNP-C
• Leah Kristyn Coltrain, PHARM D
• Michael Edward Coltrain II, MD

• Certified Registered Nurse Anesthetist in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Certified Registered Nurse Anesthetist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2016; 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.