Active NPI
Anna Mae Cowgur, CRNA
- Certified Registered Nurse Anesthetist
- Gravette, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- C02714
- Practice address
- 1101 Jackson St SW
Gravette, AR 72736-9121 - Phone
- (479) 787-5291
- Fax
- (479) 344-6404
- NPI assigned
- Jun 2, 2008
- Last updated
- Jun 29, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | C02714 | AR | Primary |
Addresses
Primary practice location
1101 Jackson St SW
Gravette, AR 72736-9121
Mailing address
PO Box 507
Lowell, AR 72745-0507
Phone (913) 642-4900
Other practice location 1
2710 Rife Medical Ln
Anesthesia Dept
Rogers, AR 72758-1452
Phone (913) 642-4900 ext. 247
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5V088 | Other | AR | BCBSAR |
| 174709001 | Medicaid | AR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1101 Jackson St SW
Gravette, AR 72736-9121
Phone (479) 787-5291
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C02714 | AR | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Services of Benton County PA | Current | Accepting new patients | |
| Capital Anesthesia Solutions of Arkansas, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Sgoh Acquisition Inc | Current | Accepting new patients | |
| Sgoh Acquisition Inc | Current | Accepting new patients |
Locations
3000 Medical Center Pkwy
Fl 2
Bentonville, AR 72712
1101 Jackson St SW
Gravette, AR 72736
Phone (479) 787-5221
2710 S Rife Medical Ln
Rogers, AR 72758
Phone (479) 338-8000
603 N Progress Ave
Siloam Springs, AR 72761
Phone (479) 215-3000
Organizations & group practices 4
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.
-
dba Ozarks Community Hospital of Gravette
- Critical Access Hospital
- Gravette, AR
- NPI 1568643005
-
- Anesthesiology Physician
- Rogers, AR
- NPI 1013084482
-
- Anesthesiology Physician
- Fayetteville, AR
- NPI 1174125876
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593388800000",
"number": "1457510877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 507",
"city": "LOWELL",
"state": "AR",
"postal_code": "727450507",
"telephone_number": "913-642-4900",
"fax_number": "913-381-0979"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 JACKSON ST SW",
"city": "GRAVETTE",
"state": "AR",
"postal_code": "727369121",
"telephone_number": "479-787-5291",
"fax_number": "479-344-6404"
}
],
"practiceLocations": [
{
"address_1": "2710 Rife Medical Ln",
"address_2": "ANESTHESIA DEPT",
"address_purpose": "LOCATION",
"city": "Rogers",
"state": "AR",
"postal_code": "727581452",
"country_code": "US",
"telephone_number": "913-642-4900 x247",
"fax_number": "913-381-0979",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COWGUR",
"first_name": "ANNA",
"middle_name": "MAE",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-02",
"last_updated": "2020-06-29",
"certification_date": "2020-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "AR",
"license": "C02714",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSAR",
"identifier": "5V088",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "174709001",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gravette, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 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.