Active NPI
Nicole Roark, M.D.
- Anesthesiology Physician
- Little Rock, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 45445
- Practice address
- 1 Childrens Way # 203
Little Rock, AR 72202-3500 - Phone
- (501) 364-3933
- Fax
- (501) 364-2939
- NPI assigned
- Aug 24, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | E-15641 | AR | |
| Pediatric Anesthesiology Physician | 207LP3000X | E-1561 | AR | |
| Anesthesiology Physician | 207L00000X | 45445 | TX | Primary |
Addresses
Primary practice location
1 Childrens Way # 203
Little Rock, AR 72202-3500
Mailing address
1 Childrens Way # 653
Little Rock, AR 72202-3500
Phone (501) 364-1100
Other practice location 1
301 University Blvd
Galveston, TX 77555-5302
Phone (409) 772-6347
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | archildrens.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1900 Pine St
Abilene, TX 79601-2432
Phone (325) 670-2000
Hospital & facility affiliations
- Hendrick Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E-15641 | AR | MD | Anesthesiology Physician |
| E-1561 | AR | MD | Pediatric Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Arkansas for Medical Sciences | Anesthesiology | Current | Accepting new patients |
| Hendrick Anesthesia Network | Current | Accepting new patients | |
| Arkansas Childrens Hospital | Current | Accepting new patients | |
| University of Arkansas for Medical Sciences | Anesthesiology | Current | Accepting new patients |
| Arkansas Children'S Hospital | Current | Accepting new patients | |
| University of Arkansas for Medical Sciences | Current | Accepting new patients |
Locations
1 Childrens Way
Ste 653
Little Rock, AR 72202
4301 W Markham St
Little Rock, AR 72205
Phone (501) 603-1278
4301 W Markham St
#783
Little Rock, AR 72205
Phone (501) 603-1278
1 Childrens Way
#653
Little Rock, AR 72202
Phone (501) 614-2006
1 Childrens Way
Little Rock, AR 72202
Phone (501) 364-1874
1 Childrens Way
#203
Little Rock, AR 72202
Phone (501) 364-2180
751 N 18th St
Abilene, TX 79601
Phone (915) 676-0557
1900 Pine St
Abilene, TX 79601
Phone (325) 670-4220
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 and National Provider Directory roles.
-
- Specialist
- Abilene, TX
- NPI 1851394993
-
- Pediatrics Physician
- Little Rock, AR
- NPI 1598773079
-
- Pediatrics Physician
- Little Rock, AR
- NPI 1346230968
Anesthesiology
-
- Internal Medicine Physician
- Little Rock, AR
- NPI 1588654016
Anesthesiology
-
- Children's Hospital
- Little Rock, AR
- NPI 1477561983
-
- Family Medicine Physician
- El Dorado, AR
- NPI 1023795051
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Abilene, TX
- NPI 1528064649
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753228800000",
"number": "1720533292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 CHILDRENS WAY # 653",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722023500",
"telephone_number": "501-364-1100",
"fax_number": "501-364-4082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 CHILDRENS WAY # 203",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722023500",
"telephone_number": "501-364-3933",
"fax_number": "501-364-2939"
}
],
"practiceLocations": [
{
"address_1": "301 University Blvd",
"address_purpose": "LOCATION",
"city": "Galveston",
"state": "TX",
"postal_code": "775555302",
"country_code": "US",
"telephone_number": "409-772-6347",
"fax_number": "409-772-6409",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROARK",
"first_name": "NICOLE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-24",
"last_updated": "2025-07-23",
"certification_date": "2025-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "AR",
"license": "E-15641",
"primary": false
},
{
"code": "207LP3000X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pediatric Anesthesiology",
"state": "AR",
"license": "E-1561",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "TX",
"license": "45445",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "archildrens.org",
"affiliation": "N",
"address_1": "1 Childrens Way",
"city": "Little Rock",
"state": "AR",
"country_code": "US",
"postal_code": "722023500",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Jul 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.