Individual provider Active NPI

Simona Luckow, CRNA

  • Certified Registered Nurse Anesthetist
  • Hot Springs, AR
National Provider Identifier
1427412188
Registry record updated Aug 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
C003152 Issued in AR
Practice address
300 Werner St
Hot Springs, AR 71913-6406
Phone
(501) 664-4532
NPI assigned
Apr 8, 2016
Last updated
Aug 16, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R079370 AR
Certified Registered Nurse Anesthetist 367500000X AP143384 TX
Certified Registered Nurse Anesthetist 367500000X C003152 AR Primary

Addresses

Primary practice location

300 Werner St
Hot Springs, AR 71913-6406

Mailing address

500 S University Ave Ste 500
Little Rock, AR 72205-5307
Phone (501) 664-4532

Other practice location 1

4301 W Markham St # 515
Little Rock, AR 72205-7101
Phone (501) 686-1146

Other practice location 2

2602 Saint Michael Dr Ste 301
Texarkana, TX 75503-5206
Phone (903) 614-5258

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160812002171 AR Practitioner - Certified Registered Nurse Anesthetist (Crna) 9830483874 Reassigns benefits to 5 organizations
I20191212000284 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 9830483874 Reassigns benefits to 3 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
Youngs Professional Services LLCGroup PAC ID 2163524992, 297 clinicians

Practice addresses (Care Compare)

300 Werner St
Hot Springs, AR 71913-6406
Phone (501) 622-1930

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R079370ARMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
University of Arkansas for Medical Sciences CurrentSince Mar 7, 2022 Accepting new patients
Christus Health Ark-la-Tex Current Accepting new patients
Harris and Theodore Anesthesia Services, LLC Nurse Anesthetist, Certified Registered CurrentSince Nov 25, 2024 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Oct 25, 2023 Accepting new patients
University of Arkansas for Medical Sciences CurrentSince Mar 7, 2022 Accepting new patients
Christus Health Ark-la-Tex CurrentSince Jan 6, 2020 Accepting new patients
University of Arkansas for Medical Sciences CurrentSince Mar 7, 2022 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Oct 25, 2023 Accepting new patients
Christus Health Ark-la-Tex CurrentSince Jan 6, 2020 Accepting new patients
Northstar Anesthesia, PA Nurse Anesthetist, Certified Registered CurrentSince Nov 1, 2019 Accepting new patients
Youngs Professional Services LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 29, 2021 Accepting new patients
McGowan Court Anesthesia Associates LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2024 Accepting new patients
Pad Specialists - Little Rock PLLC PastSince Feb 27, 2023 Accepting new patients

Locations

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

151 McGowan Ct
Hot Springs National Park, AR 71913
Phone (501) 623-4101

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

1 Childrens Way
#653
Little Rock, AR 72202
Phone (501) 614-2006

1 Childrens Way
Ste 653
Little Rock, AR 72202

13501 Chenal Pkwy
Ste 102
Little Rock, AR 72211
Phone (501) 451-7843

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

4301 W Markham St
#515
Little Rock, AR 72205
Phone (501) 603-1656

4301 W Markham St
#783
Little Rock, AR 72205
Phone (501) 603-1278

6119 Midtown Ave
Ste 201
Little Rock, AR 72205
Phone 5016644532113

909 9th Ave
Ft Worth, TX 76104
Phone (817) 336-6060

1917 Ashland St
Houston, TX 77008
Phone (713) 861-6161

6200 W Parker Rd
Plano, TX 75093
Phone (972) 608-8000

2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000

2602 Saint Michael Dr
Ste 301
Texarkana, TX 75503
Phone (903) 614-5258

2604 Saint Michael Dr
Ste 239
Texarkana, TX 75503
Phone (903) 614-5330

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

Organizations & group practices 13

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 13

Hospital & facility affiliations 6

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": "1460073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692144000000",
    "number": "1427412188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 S UNIVERSITY AVE STE 500",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722055307",
            "telephone_number": "501-664-4532",
            "fax_number": "501-663-4335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 WERNER ST",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719136406",
            "telephone_number": "501-664-4532"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4301 W Markham St # 515",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722057101",
            "country_code": "US",
            "telephone_number": "501-686-1146",
            "fax_number": "504-036-1234",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2602 Saint Michael Dr Ste 301",
            "address_purpose": "LOCATION",
            "city": "Texarkana",
            "state": "TX",
            "postal_code": "755035206",
            "country_code": "US",
            "telephone_number": "903-614-5258",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUCKOW",
        "first_name": "SIMONA",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-08",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AR",
            "license": "R079370",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "AP143384",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AR",
            "license": "C003152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hot Springs, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2023; 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.