Medical Anesthesia Services, LLC

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

Legal business name

MEDICAL ANESTHESIA SERVICES, LLC

Practice address

3394 N Futrall Dr
Fayetteville, AR 72703-4057

Phone

(479) 582-3360

NPI assigned

Feb 13, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Victor Pribislavski, CRNA, DNPNPI 1083052625

Title

Crna

Phone

(941) 376-1242

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Victor Pribislavski, CRNA

  • Certified Registered Nurse Anesthetist
  • Fayetteville, AR
  • NPI 1083052625

  Nurse Anesthetist, Certified Registered

  NPD Authorized official
• Aixa Jolley

  • General Practice Dentistry
  • Rogers, AR
  • NPI 1275377822
  NPD (past)
• Andrew Trevor Ricketts, DMD

  • General Practice Dentistry
  • Bentonville, AR
  • NPI 1134806524
  NPD (past)

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

{
    "created_epoch": "1550016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779062400000",
    "number": "1598221616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3623 W HOWARD NICKELL RD",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727045479",
            "telephone_number": "941-376-1242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3394 N FUTRALL DR",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727034057",
            "telephone_number": "479-582-3360"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3996 N Frontage Rd",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "AR",
            "postal_code": "727035122",
            "country_code": "US",
            "telephone_number": "479-582-3000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2926 W Huntsville Ave",
            "address_purpose": "LOCATION",
            "city": "Springdale",
            "state": "AR",
            "postal_code": "727627726",
            "country_code": "US",
            "telephone_number": "479-582-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MEDICAL ANESTHESIA SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-13",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A",
        "authorized_official_last_name": "PRIBISLAVSKI",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_title_or_position": "CRNA",
        "authorized_official_telephone_number": "941-376-1242",
        "authorized_official_credential": "CRNA, DNP"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gideon S Mecum, M.D.
• Jon Medders, LCSW
• Medexpress Urgent Care Arkansas, P.a. (MedExpress Urgent Care - Fayetteville, N College Avenue)
• Haley Medford, LCSW
• Medic Rental Inc (Medic Sleep Care)
• Medical Arts, Inc. (Medical Arts Pharmacy)
• Medical Assistance Services, Inc
• Medical Associates of Northwest Arkansas PA
• Medical Associates of Northwest Arkansas PA
• Medical Associates of Northwest Arkansas PA

• Certified Registered Nurse Anesthetist in Fayetteville, AR
• Providers in Fayetteville, AR by specialty
• Certified Registered Nurse Anesthetist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.