Individual provider Active NPI

Nicole Bryson, CRNA

  • Certified Registered Nurse Anesthetist
  • Little Rock, AR
National Provider Identifier
1760627707
Registry record updated Sep 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
C003155 Issued in AR
Practice address
8901 Carti Way
Little Rock, AR 72205-6523
Phone
(501) 906-3000
Fax
(501) 907-6522
NPI assigned
Dec 4, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R072514 AR
Certified Registered Nurse Anesthetist 367500000X C003155 AR Primary

Addresses

Primary practice location

8901 Carti Way
Little Rock, AR 72205-6523

Mailing address

PO Box 55050
Little Rock, AR 72215-5050
Phone (501) 906-3000

Other practice location 1

2 Saint Vincent Cir
Little Rock, AR 72205-5423
Phone (501) 664-4532 ext. 115

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160801002489 AR Practitioner - Certified Registered Nurse Anesthetist (Crna) 1850684622 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Vincent Medical GroupGroup PAC ID 5698758803, 237 clinicians

Practice addresses (Care Compare)

2 Saint Vincent Cir
Little Rock, AR 72205-5423
Phone (501) 552-4666

2215 Wildwood Ave
Sherwood, AR 72120-5089
Phone (501) 552-7100

Hospital & facility affiliations

  • St Vincent Medical Center/North Hospital, Sherwood, AR, CCN 040137
  • CHI-St Vincent Infirmary Hospital, Little Rock, AR, CCN 040007

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R072514ARMDRegistered Nurse
C003155ARMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
St. Vincent Medical Group CurrentSince Jan 1, 2024 Accepting new patients
Southern Regional Anesthesiology Consultants PLLC CurrentSince Jul 12, 2016 Accepting new patients
Central Arkansas Radiation Therapy Institute Inc CurrentSince Jun 12, 2023 Accepting new patients
Central Arkansas Radiation Therapy Institute Inc Current Accepting new patients
Central Arkansas Radiation Therapy Institute Inc CurrentSince Jun 12, 2023 Accepting new patients

Locations

2500 Highway 65 S
Clinton, AR 72031
Phone (501) 745-7000

8901 Carti Way
Little Rock, AR 72205
Phone 50190630003044

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

16221 Saint Vincent Way
Little Rock, AR 72223
Phone (501) 221-0888

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

6119 Midtown Ave
Ste 201
Little Rock, AR 72205
Phone 5016644532113

9601 Baptist Health Dr
Ste 106
Little Rock, AR 72205

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

2215 Wildwood Ave
Sherwood, AR 72120
Phone (501) 522-7100

Organizations & group practices 5

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 3

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": "1228348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695340800000",
    "number": "1760627707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 55050",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722155050",
            "telephone_number": "501-906-3000",
            "fax_number": "501-907-8367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8901 CARTI WAY",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056523",
            "telephone_number": "501-906-3000",
            "fax_number": "501-907-6522"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Saint Vincent Cir",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722055423",
            "country_code": "US",
            "telephone_number": "501-664-4532 x115",
            "fax_number": "501-663-4335",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRYSON",
        "first_name": "NICOLE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-04",
        "last_updated": "2023-09-22",
        "certification_date": "2023-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AR",
            "license": "R072514",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AR",
            "license": "C003155",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 22, 2023; 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.