Individual provider Active NPI

Krista E Scaggs, CRNA

  • Certified Registered Nurse Anesthetist
  • Harrison, AR
National Provider Identifier
1649411455
Registry record updated Oct 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
C002966 Issued in AR
Practice address
620 N Main
Harrison, AR 72601-2911
Phone
(870) 414-4000
Fax
(870) 414-4961
NPI assigned
Mar 9, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 155401 MO
Certified Registered Nurse Anesthetist 367500000X C002966 AR Primary

Addresses

Primary practice location

620 N Main
Harrison, AR 72601-2911

Mailing address

620 N Main
Harrison, AR 72601-2911
Phone (870) 414-4000

Other identifiers 2

IdentifierTypeStateIssuer
771164501OtherARBREASTCARE
179294001MedicaidAR

Other names 1

  • Krista E Smith Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130727000145 AR Practitioner - Certified Registered Nurse Anesthetist (Crna) 3779638937 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arkansas Anesthesia Associates PLLCGroup PAC ID 6406023142, 85 clinicians

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 Hospital, Mountain Home, AR, CCN 040027

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Arkansas Anesthesia Associates, PLLC. CurrentSince Jan 4, 2021 Accepting new patients
Poplar Bluff Regional Medical Center LLC Past Accepting new patients

Locations

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

761 Beard Dr
Mountain Home, AR 72653

Organizations & group practices 2

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1236556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444262400000",
    "number": "1649411455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 N MAIN",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "726012911",
            "telephone_number": "870-414-4000",
            "fax_number": "870-414-4961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 N MAIN",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "726012911",
            "telephone_number": "870-414-4000",
            "fax_number": "870-414-4961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCAGGS",
        "first_name": "KRISTA",
        "middle_name": "E",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-09",
        "last_updated": "2015-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MO",
            "license": "155401",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AR",
            "license": "C002966",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BREASTCARE",
            "identifier": "771164501",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "179294001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTA",
            "last_name": "SMITH",
            "middle_name": "E",
            "credential": "CRNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Harrison, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2015; 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.