Individual provider Active NPI

Charlotte Chapple, CRNA

  • Certified Registered Nurse Anesthetist
  • Pine Bluff, AR
National Provider Identifier
1659387769
Registry record updated Aug 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
C02621 Issued in AR
Practice address
1801 W 40TH Ave
Suite 2B
Pine Bluff, AR 71603-6940
Phone
(870) 535-7457
Fax
(870) 535-2522
NPI assigned
Jul 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2022

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 C02621 AR Primary

Addresses

Primary practice location

1801 W 40TH Ave
Suite 2B
Pine Bluff, AR 71603-6940

Mailing address

PO Box 1272
Pine Bluff, AR 71613-1272
Phone (870) 535-7457

Other practice location 1

500 S University Ave Ste 500
Little Rock, AR 72205-5307
Phone (501) 664-4532

Other identifiers 3

IdentifierTypeStateIssuer
5Y973OtherARBCBS
P00333566OtherRR MCR
162083001MedicaidAR

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061013000612 AR Practitioner - Certified Registered Nurse Anesthetist (Crna) 4789680752 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Middle Arkansas Sedation Associates, PLLCGroup PAC ID 4486068988, 6 clinicians

Practice addresses (Care Compare)

1024 N University Ave
Little Rock, AR 72207-6347
Phone (501) 537-0900

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C02621ARMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Middle Arkansas Sedation Associates, PLLC Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2021 Accepting new patients
Arkansas Surgical Hospital, LLC CurrentSince Jan 1, 2022 Accepting new patients
Bradley County Medical Center CurrentSince Jun 1, 2024 Accepting new patients
Southern Regional Anesthesiology Consultants PLLC CurrentSince May 1, 2022 Accepting new patients
Arkansas Anesthesia Associates, PLLC. CurrentSince Jul 1, 2021 Accepting new patients
Arkansas Surgical Hospital, LLC Current Accepting new patients
Bradley County Medical Center Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2024 Accepting new patients
Premier Anesthesia of Arkansas Professional Corporation Nurse Anesthetist, Certified Registered CurrentSince Feb 10, 2016 Accepting new patients

Locations

800 Exchange Ave
Ste 102B
Conway, AR 72032
Phone (501) 504-6994

3215 N Northhills Blvd
Fayetteville, AR 72703
Phone (479) 463-1000

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

1024 N University Ave
Little Rock, AR 72207
Phone (501) 537-0900

500 S University Ave
Ste 500
Little Rock, AR 72205
Phone (501) 320-1101

2 Saint Vincent Cir
Little Rock, AR 72205
Phone (501) 552-2680

4 Hospital Dr
Morrilton, AR 72110
Phone (501) 977-2300

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

5201 Northshore Dr
Ste 300
North Little Rock, AR 72118
Phone (501) 748-8000

5201 Northshore Dr
North Little Rock, AR 72118
Phone (501) 748-8000

404 S Bradley St
Warren, AR 71671
Phone (870) 226-3731

2655 Northwinds Pkwy
Alpharetta, GA 30009
Phone (678) 690-7804

400 10th St E
Waconia, MN 55387

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/bradley-49d5c27e

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661299200000",
    "number": "1659387769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1272",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716131272",
            "telephone_number": "870-535-7457",
            "fax_number": "870-535-2522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 W 40TH AVE",
            "address_2": "SUITE 2B",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716036940",
            "telephone_number": "870-535-7457",
            "fax_number": "870-535-2522"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 S University Ave Ste 500",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722055307",
            "country_code": "US",
            "telephone_number": "501-664-4532",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAPPLE",
        "first_name": "CHARLOTTE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AR",
            "license": "C02621",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "5Y973",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MCR",
            "identifier": "P00333566",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "162083001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pine Bluff, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2022; 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.