Lacey Hlass, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Mountain Home, AR
NPI 1508364449 · NPPES record last updated Jan 25, 2018
Key facts
- NPI
- 1508364449
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- C003225 (AR)
- Practice address
- 624 Hospital Dr
Mountain Home, AR 72653-2955 - Phone
- (870) 508-1000
- NPI assigned
- Jan 25, 2018
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Arkansas Anesthesia Associates PLLC
Practice addresses (Care Compare)
10201 Kanis Rd
Little Rock, AR 72205-6203
Phone (501) 227-5050
624 Hospital Dr
Mountain Home, AR 72653-2955
Phone (870) 508-1000
761 Beard Dr
Mountain Home, AR 72653-2961
Phone (870) 508-6700
9500 Kanis Rd
Suite 401
Little Rock, AR 72205-6377
Phone (501) 227-9088
Hospital & facility affiliations
- Baxter Health
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180305001061 | AR | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 3678834876 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arkansas Anesthesia Associates, PLLC. | Current |
Accepting new patients |
Locations
10301 Kanis Rd
Little Rock, AR 72205
Phone (501) 604-4151
624 Hospital Dr
#4610
Mountain Home, AR 72653
Phone (870) 508-1810
624 Hospital Dr
Mountain Home, AR 72653
Phone (870) 424-1000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | C003225 | AR | Yes |
Addresses
Primary practice location
624 Hospital Dr
Mountain Home, AR 72653-2955
Mailing address
624 Hospital Dr
Mountain Home, AR 72653-2955
Phone (870) 508-1000
Other providers in Mountain Home, AR
- Mikalee Brooke Hinrichs
- Derek Hinson
- Melissa Hinson
- Corinne Hiser
- Faye Hixson
- Michael E Hodges
- Melinda Rose Hoffman
- Katie Holland
- Rachel Hollingsworth
- Sierra Ann Hollis
All providers in Mountain Home, AR · Certified Registered Nurse Anesthetist in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 25, 2018. 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.
- 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.