Cristyn Nicole Branstetter, M.D.
Individual provider Active NPI Pediatric Hematology & Oncology Physician · Springdale, AR
NPI 1508160102 · NPPES record last updated Sep 12, 2024
Key facts
- NPI
- 1508160102
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Hematology & Oncology Physician 2080P0207X
- License
- E-11200 (AR)
- Practice address
- 2601 Gene George Blvd
Springdale, AR 72762 - Phone
- (479) 725-6801
- Fax
- (479) 725-6577
- NPI assigned
- Dec 22, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 9
Medicare Care Compare profile
- Specialty
- Pediatric Medicine
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Arkansas Childrens Professional Services Organization LLC
Practice addresses (Care Compare)
1 Childrens Way
Little Rock, AR 72202-3500
Phone (501) 364-2526
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240926003585 | AR | Practitioner - Pediatric Medicine |
7517105356 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E-11200 | AR | MD | Pediatrics Physician |
| BP10030749 | TX | MD | Pediatrics Physician |
| N8893 | TX | MD | Pediatric Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Arkansas for Medical Sciences | Pediatrics | Current | Accepting new patients |
| Arkansas Childrens Hospital | Pediatrics | Current |
Accepting new patients |
| University of Arkansas for Medical Sciences | Current |
Accepting new patients | |
| University of Arkansas for Medical Sciences | Current |
Accepting new patients | |
| Arkansas Childrens Professional Services Organization LLC | Pediatrics | Current |
Accepting new patients |
| Arkansas Children'S Hospital | Current |
Accepting new patients | |
| Arkansas Childrens Northwest, Inc. | Past | Accepting new patients | |
| University of Arkansas for Medical Sciences | Pediatrics | Past | Accepting new patients |
| Arkansas Childrens Hospital | Past | Accepting new patients |
Locations
1 Childrens Way
Little Rock, AR 72202
Phone (501) 364-1874
1 Childrens Way
Ste 653
Little Rock, AR 72202
1 Childrens Way
#844
Little Rock, AR 72202
Phone (501) 364-2090
1 Childrens Way
#653
Little Rock, AR 72202
Phone (501) 614-2006
2601 Gene George Blvd
Springdale, AR 72762
Phone (479) 725-6800
Interoperability endpoints
- https://epicproxy.et1036.epichosted.com/APIProxyPRD/AC/api/FHIR/R4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | BP10030749 | TX | |
| Pediatrics Physician | 208000000X | E-11200 | AR | |
| Pediatric Hematology & Oncology Physician | 2080P0207X | N8893 | TX | |
| Pediatric Hematology & Oncology Physician | 2080P0207X | E-11200 | AR | Yes |
Addresses
Primary practice location
2601 Gene George Blvd
Springdale, AR 72762
Mailing address
1 Childrens Way # 653
Little Rock, AR 72202-3500
Phone (501) 364-1100
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 205930001 | Medicaid | AR |
Other names
- Cristyn Nicole Camet
Other providers in Springdale, AR
- Jasmeet Kaur Braich
- Melinda Bramlett
- Shaunna Branch
- Brandon Eye Clinic PLLC
- Philip Fred Brandon
- Candace Kay Brantley
- Jordan Brantley
- Olivia Brasher
- Diana Kay Braziel
- Chad E Brekelbaum
All providers in Springdale, AR · Pediatric Hematology & Oncology Physician in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 12, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.