Individual provider Active NPI

Megan L Wells, CRNA

  • Certified Registered Nurse Anesthetist
  • North Little Rock, AR
National Provider Identifier
1457790206
Registry record updated Jun 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
CTP-000243 Issued in AR
Practice address
3805 McCain Park Dr
Suite 105
North Little Rock, AR 72116-7803
Phone
(501) 771-4693
Fax
(501) 771-4885
NPI assigned
Jun 14, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2013

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 CTP-000243 AR Primary

Addresses

Primary practice location

3805 McCain Park Dr
Suite 105
North Little Rock, AR 72116-7803

Mailing address

3805 McCain Park Dr
Suite 105
North Little Rock, AR 72116-7803
Phone (501) 771-4693

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130830000556 AR Practitioner - Certified Registered Nurse Anesthetist (Crna) 6507009057 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CTP-000243ARMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Gastroenterology Associates PA CurrentSince Jan 1, 2025 Accepting new patients
Arkansas Anesthesia Associates, PLLC. CurrentSince Jul 1, 2021 Accepting new patients
Middle Arkansas Sedation Associates, PLLC Nurse Anesthetist, Certified Registered CurrentSince Nov 17, 2022 Accepting new patients
Gastro Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2015 Accepting new patients

Locations

1 Medical Park Dr
Bryant, AR 72015
Phone (501) 776-6000

455 Hogan Ln
Conway, AR 72034
Phone (501) 513-0799

11700 Cantrell Rd
Little Rock, AR 72223
Phone (501) 664-6980

405 N University Ave
Little Rock, AR 72205
Phone (501) 228-4445

1024 N University Ave
Little Rock, AR 72207
Phone (501) 537-0900

10301 Kanis Rd
Little Rock, AR 72205
Phone (501) 604-4151

3401 Springhill Dr
Ste 155
North Little Rock, AR 72117
Phone (501) 202-3631

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1371168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371168000000",
    "number": "1457790206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3805 MCCAIN PARK DR",
            "address_2": "SUITE 105",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721167803",
            "telephone_number": "501-771-4693",
            "fax_number": "501-771-4885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3805 MCCAIN PARK DR",
            "address_2": "SUITE 105",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721167803",
            "telephone_number": "501-771-4693",
            "fax_number": "501-771-4885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLS",
        "first_name": "MEGAN",
        "middle_name": "L",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-14",
        "last_updated": "2013-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AR",
            "license": "CTP-000243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.