Individual provider Active NPI

Debra S Varela, CRNA

  • Certified Registered Nurse Anesthetist
  • Mountain View, AR
National Provider Identifier
1457465502
Registry record updated Feb 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
C001084 Issued in AR
Practice address
2110 East Main
Mountain View, AR 72560
Phone
(870) 269-8300
Fax
(870) 269-5630
NPI assigned
Aug 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2020

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 C001084 AR Primary

Addresses

Primary practice location

2110 East Main
Mountain View, AR 72560

Mailing address

280 W Ila St
Fayetteville, AR 72701-3313
Phone (479) 856-8161

Other practice location 1

3000 Medical Center Pkwy
Bentonville, AR 72712-3217
Phone (479) 553-1000

Other practice location 2

2783 N Shiloh Dr
Fayetteville, AR 72704-6983
Phone (479) 442-8653

Other practice location 3

609 W Maple Ave
Springdale, AR 72764-5335
Phone (479) 751-5711

Other identifiers 1

IdentifierTypeStateIssuer
136851701MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070718000193 AR Practitioner - Certified Registered Nurse Anesthetist (Crna) 1355442559 Reassigns benefits to 1 organization
I20230328001826 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 1355442559 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Regional Anesthesia Associates IncGroup PAC ID 3870964323, 143 clinicians

Practice addresses (Care Compare)

465 W Putnam Ave
Porterville, CA 93257-3320
Phone (559) 784-1110

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
63.03 of 100Reported as group
Quality
44.74
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C001084ARMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Ambulatory Anesthesia Associates PLLC Anesthesiology CurrentSince Feb 17, 2020 Accepting new patients
Amsurg Marin Anesthesia LP Anesthesiology CurrentSince Sep 22, 2024 Accepting new patients
Valley Regional Anesthesia Associates Inc Anesthesiology CurrentSince Dec 6, 2023 Accepting new patients
Amsurg Oakland Anesthesia LP Anesthesiology CurrentSince Dec 8, 2022 Accepting new patients
Northeast Arkansas Clinic Charitable Foundation, Inc. Anesthesiology Past Accepting new patients

Locations

3271 N Wimberly Dr
Fayetteville, AR 72703
Phone (479) 713-6000

3001 Sillect Ave
Bakersfield, CA 93308
Phone (661) 316-6000

2139 E Beechwood Ave
Fresno, CA 93720
Phone (559) 322-6600

1100 S Eliseo Dr
Ste 3
Greenbrae, CA 94904
Phone (415) 464-0606

1660 W 3rd St
Los Angeles, CA 90017
Phone (213) 201-0850

1205 E North St
Manteca, CA 95336
Phone (209) 239-8301

145 Trevino Ave
Manteca, CA 95337
Phone (209) 788-8180

1300 Mable Ave
Ste 1
Modesto, CA 95355
Phone (209) 571-1633

300 Ogawa Plz
Ste 135
Oakland, CA 94612
Phone (510) 893-1600

465 W Putnam Ave
Porterville, CA 93257
Phone (559) 784-8886

2900 Eureka Way
Redding, CA 96001
Phone (530) 225-8700

825 Delbon Ave
Turlock, CA 95382
Phone (209) 664-2744

119 S Locust St
#B
Visalia, CA 93291
Phone (559) 366-7177

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580947200000",
    "number": "1457465502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 W ILA ST",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727013313",
            "telephone_number": "479-856-8161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 EAST MAIN",
            "city": "MOUNTAIN VIEW",
            "state": "AR",
            "postal_code": "72560",
            "telephone_number": "870-269-8300",
            "fax_number": "870-269-5630"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3000 Medical Center Pkwy",
            "address_purpose": "LOCATION",
            "city": "Bentonville",
            "state": "AR",
            "postal_code": "727123217",
            "country_code": "US",
            "telephone_number": "479-553-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2783 N Shiloh Dr",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "AR",
            "postal_code": "727046983",
            "country_code": "US",
            "telephone_number": "479-442-8653",
            "fax_number": "479-442-2678",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "609 W Maple Ave",
            "address_purpose": "LOCATION",
            "city": "Springdale",
            "state": "AR",
            "postal_code": "727645335",
            "country_code": "US",
            "telephone_number": "479-751-5711",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VARELA",
        "first_name": "DEBRA",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-18",
        "last_updated": "2020-02-06",
        "certification_date": "2020-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AR",
            "license": "C001084",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "136851701",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain View, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2020; 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.