Individual provider Active NPI

Don R. Fletcher Jr.

  • Certified Registered Nurse Anesthetist
  • Little Rock, AR
National Provider Identifier
1356378954
Registry record updated Sep 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
C001572 Issued in AR
Practice address
10001 Lile Dr
Little Rock, AR 72205-6217
Phone
(501) 227-8000
NPI assigned
Jun 27, 2006
Last updated
Sep 18, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2015

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 C001572 AR Primary

Addresses

Primary practice location

10001 Lile Dr
Little Rock, AR 72205-6217

Mailing address

10001 Lile Dr
Little Rock, AR 72205-6217
Phone (501) 227-8000

Other identifiers 1

IdentifierTypeStateIssuer
163769001MedicaidAR

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070423000596 AR Practitioner - Certified Registered Nurse Anesthetist (Crna) 5597860338 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McFarland Anesthesia LLCGroup PAC ID 1557708153, 6 clinicians

Practice addresses (Care Compare)

10700 N Rodney Parham Rd
Suite C1 B
Little Rock, AR 72212-4191
Phone (501) 293-3626

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C001572ARMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Day Surgery Center CurrentSince Feb 23, 2015 Accepting new patients
University of Arkansas for Medical Sciences CurrentSince Dec 26, 2008 Accepting new patients
Battle Street Surgery Center, LLC CurrentSince Oct 16, 2023 Accepting new patients
Physicians Day Surgery Center CurrentSince Feb 23, 2015 Accepting new patients
Physician's Day Surgery Center CurrentSince Feb 23, 2015 Accepting new patients
University of Arkansas for Medical Sciences CurrentSince Dec 26, 2008 Accepting new patients
McFarland Anesthesia LLC CurrentSince Feb 3, 2024 Accepting new patients
NLR Gi Anesthesia, LLC Nurse Anesthetist, Certified Registered PastSince Jun 22, 2021 Accepting new patients
Premier Gastroenterology Associates PLLC Past Accepting new patients

Locations

10700 N Rodney Parham Rd
Ste C1A
Little Rock, AR 72212
Phone (501) 293-3626

10700 N Rodney Parham Rd
Ste C1B
Little Rock, AR 72212
Phone (501) 293-3626

17200 Chenal Pkwy
Ste 440
Little Rock, AR 72223
Phone (501) 830-2020

4301 W Markham St
Little Rock, AR 72205
Phone (501) 603-1278

2705 S Orlando St
Pine Bluff, AR 71603
Phone (800) 451-6686

3805 W 28th Ave
Pine Bluff, AR 71603
Phone (870) 536-4100

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442534400000",
    "number": "1356378954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10001 LILE DR",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056217",
            "telephone_number": "501-227-8000",
            "fax_number": "501-604-8758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10001 LILE DR",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056217",
            "telephone_number": "501-227-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLETCHER",
        "first_name": "DON",
        "middle_name": "R.",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2015-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AR",
            "license": "C001572",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "163769001",
            "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 Sep 18, 2015; 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.