Individual provider Active NPI

Michelle Dawn Eddington, CRNA

  • Certified Registered Nurse Anesthetist
  • Little Rock, AR
National Provider Identifier
1568434967
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
C001141 Issued in AR
Practice address
11610 Huron LN
Little Rock, AR 72211-1834
Phone
(501) 227-7797
Fax
(501) 227-7753
NPI assigned
Feb 2, 2006
Last updated
Sep 17, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2024

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 C001141 AR Primary

Addresses

Primary practice location

11610 Huron LN
Little Rock, AR 72211-1834

Mailing address

11610 Huron LN
Little Rock, AR 72211-1834
Phone (501) 227-7797

Other identifiers 2

IdentifierTypeStateIssuer
139227701MedicaidAR
5U120OtherARBLUE CROSS BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040419001674 AR Practitioner - Certified Registered Nurse Anesthetist (Crna) 6800881707 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Specialists of ArkansasGroup PAC ID 8224926076, 3 clinicians
NLR Gi Anesthesia, LLCGroup PAC ID 6002210846, 12 clinicians

Practice addresses (Care Compare)

11610 Huron LN
Little Rock, AR 72211-1834
Phone (501) 227-7797

3401 Springhill Dr
Suite 155
North Little Rock, AR 72117-2934
Phone (615) 620-2320

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C001141ARMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Anesthesia Services, PLC Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2023 Accepting new patients
Arkansas Health Group CurrentSince Dec 9, 2019 Accepting new patients
NLR Gi Anesthesia, LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2022 Accepting new patients
Anesthesia Specialists of Arkansas CurrentSince Apr 26, 2021 Accepting new patients
Arkansas Health Group CurrentSince Dec 9, 2019 Accepting new patients
Endoscopy Center of Arkansas Anesthesia, LLC Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215

11610 Huron Ln
Little Rock, AR 72211
Phone (501) 227-7797

212 Natural Resources Dr
Little Rock, AR 72205
Phone (501) 664-7200

500 S University Ave
Ste 219
Little Rock, AR 72205
Phone (501) 227-7797

21 Bridgeway Rd
North Little Rock, AR 72113
Phone (501) 771-1500

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

2209 Wildwood Ave
Sherwood, AR 72120
Phone (501) 834-5777

Interoperability endpoints

  • Direct secure messaging: michelle.eddington@alm-ar.direct.office.nextgen.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1568434967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11610 HURON LN",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722111834",
            "telephone_number": "501-227-7797",
            "fax_number": "501-227-7753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11610 HURON LN",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722111834",
            "telephone_number": "501-227-7797",
            "fax_number": "501-227-7753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDDINGTON",
        "first_name": "MICHELLE",
        "middle_name": "DAWN",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-02",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AR",
            "license": "C001141",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "139227701",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "5U120",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; 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.