NPIMap

Individual provider Active NPI

Andrew Douglas Hartzell

  • Certified Registered Nurse Anesthetist
  • Batesville, AR
National Provider Identifier
1306205877
Registry record updated Oct 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
220375 Issued in AZ
Practice address
1710 Harrison St
Batesville, AR 72501-7303
Phone
(870) 262-1200
NPI assigned
Feb 12, 2016
Last updated
Oct 24, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R086645 AR
Certified Registered Nurse Anesthetist 367500000X 220375 AZ Primary

Addresses

Primary practice location

1710 Harrison St
Batesville, AR 72501-7303

Mailing address

100 Plantation LN
Batesville, AR 72501-8342
Phone (501) 733-0561

Other practice location 1

2310 Anita Ln
Conway, AR 72032-8854
Phone (501) 733-0561

Other practice location 2

2200 E Show Low Lake Rd
Show Low, AZ 85901-7831
Phone (928) 537-4375

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160706001367 AR Practitioner - Certified Registered Nurse Anesthetist (Crna) 4486946845 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rural Health Pain Management LLCGroup PAC ID 8921410341, 35 clinicians
White River Health System, Inc.Group PAC ID 0143134270, shared by 36 NPIs, 190 clinicians
White River Health Anesthesia Service Group, Inc.Group PAC ID 3173042397, 23 clinicians
Five Rivers Medical Center IncGroup PAC ID 1456540194, 37 clinicians

Practice addresses (Care Compare)

1601 New Castle Rd
Forrest City, AR 72335-2218
Phone (901) 682-6828

1710 Harrison St
Batesville, AR 72501-7303

2801 Medical Ctr Dr
Pocahontas, AR 72455-9436
Phone 87089260006200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R086645ARMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Delta Memorial Hospital CurrentSince Apr 25, 2025 Accepting new patients
Mena Hospital Commission Registered Nurse CurrentSince Oct 9, 2022 Accepting new patients
Five Rivers Medical Center Inc. CurrentSince Feb 1, 2025 Accepting new patients
Rural Health Pain Management LLC CurrentSince Feb 24, 2022 Accepting new patients
North Arkansas Regional Medical Center CurrentSince Jun 13, 2022 Accepting new patients
Delta Memorial Hospital Current Accepting new patients
White River Health System, Inc. CurrentSince Jun 20, 2021 Accepting new patients
Five Rivers Medical Center Inc. Nurse Anesthetist, Certified Registered Current Accepting new patients
St Bernards Physician Clinics Inc Current Accepting new patients
White River Health System, Inc. Current Accepting new patients
White River Health Anesthesia Service Group, Inc. Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2025 Accepting new patients
North Arkansas Regional Medical Center CurrentSince Jun 13, 2022 Accepting new patients
White River Health System, Inc Nurse Anesthetist, Certified Registered CurrentSince May 1, 2021 Accepting new patients
Five Rivers Medical Center CurrentSince Feb 1, 2025 Accepting new patients
White River Health System, Inc. Current Accepting new patients
Delta Memorial Hospital CurrentSince Apr 25, 2025 Accepting new patients
Mena Hospital Commission CurrentSince Oct 9, 2022 Accepting new patients
Youngs Professional Services LLC Nurse Anesthetist, Certified Registered CurrentSince May 17, 2022 Accepting new patients

Locations

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

1710 Harrison St
Ste A
Batesville, AR 72501
Phone (870) 262-3280

811 Highway 65 S
Dumas, AR 71639
Phone (870) 382-4303

700 W Grove St
El Dorado, AR 71730
Phone (870) 863-2200

1601 New Castle Rd
Forrest City, AR 72335
Phone (870) 261-0000

620 N Main St
Fl Second
Harrison, AR 72601
Phone (870) 414-4000

300 Werner St
Hot Springs National Park, AR 71913
Phone (501) 622-1000

1526 E Main St
Melbourne, AR 72556
Phone (870) 262-3210

311 Morrow St N
Mena, AR 71953
Phone (479) 394-6100

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

2801 Medical Center Dr
Pocahontas, AR 72455
Phone (870) 892-6000

Interoperability endpoints

  • Direct secure messaging: adhartzell@sbpc.medalliesdirect.net
  • FHIR API: https://fhir-usa.unify.chbase.com/org/deltamh-91f47cd8

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 20

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

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1455235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666569600000",
    "number": "1306205877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PLANTATION LN",
            "city": "BATESVILLE",
            "state": "AR",
            "postal_code": "725018342",
            "telephone_number": "501-733-0561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 HARRISON ST",
            "city": "BATESVILLE",
            "state": "AR",
            "postal_code": "725017303",
            "telephone_number": "870-262-1200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2310 Anita Ln",
            "address_purpose": "LOCATION",
            "city": "Conway",
            "state": "AR",
            "postal_code": "720328854",
            "country_code": "US",
            "telephone_number": "501-733-0561",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2200 E Show Low Lake Rd",
            "address_purpose": "LOCATION",
            "city": "Show Low",
            "state": "AZ",
            "postal_code": "859017831",
            "country_code": "US",
            "telephone_number": "928-537-4375",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARTZELL",
        "first_name": "ANDREW",
        "middle_name": "DOUGLAS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-02-12",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AR",
            "license": "R086645",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AZ",
            "license": "220375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Batesville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; 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.