Individual provider Active NPI

Cindy Fortner, CRNA

  • Certified Registered Nurse Anesthetist
  • Mount Airy, NC
National Provider Identifier
1891099552
Registry record updated Sep 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
C002999 Issued in AR
Practice address
830 Rockford St
Mount Airy, NC 27030-5322
Phone
(336) 719-7000
NPI assigned
Jan 10, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2025

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 007859 NC
Registered Nurse 163W00000X R103598 AR
Certified Registered Nurse Anesthetist 367500000X APRN88183 WV
Certified Registered Nurse Anesthetist 367500000X C002999 AR Primary
Certified Registered Nurse Anesthetist 367500000X 3018457 KY
Certified Registered Nurse Anesthetist 367500000X 15505 TN

Addresses

Primary practice location

830 Rockford St
Mount Airy, NC 27030-5322

Mailing address

76 Peachtree Rd Ste 300
Asheville, NC 28803-3505
Phone (828) 210-9386

Other identifiers 3

IdentifierTypeStateIssuer
1891099552OtherARBLUE CROSS BLUE SHIELD
205864001MedicaidAR
1891099552OtherARTRICARE - SOUTH REGION

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, VA, AR, KY, NC5 enrollments

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20110309000988 TN Practitioner - Certified Registered Nurse Anesthetist (Crna) 8628250859 Reassigns benefits to 2 organizations
Practice locations: Johnson City, TN
I20130904000399 VA Practitioner - Certified Registered Nurse Anesthetist (Crna) 8628250859 Reassigns benefits to 1 organization
I20141013000756 AR Practitioner - Certified Registered Nurse Anesthetist (Crna) 8628250859 Reassigns benefits to 2 organizations
I20221207000821 KY Practitioner - Certified Registered Nurse Anesthetist (Crna) 8628250859 Reassigns benefits to 1 organization
I20251015004650 NC Practitioner - Certified Registered Nurse Anesthetist (Crna) 8628250859 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Triangle Anesthesia Group, PSC 77 clinicians
Medstream Anesthesia PLLC 571 clinicians

Practice addresses (Care Compare)

100 Medical Ctr Dr
Hazard, KY 41701-9421
Phone (606) 439-6600

6801 Gov GC Peery Hwy
Richlands, VA 24641-2194
Phone (276) 596-6000

830 Rockford St
Mount Airy, NC 27030-5322
Phone (336) 719-7000

Hospital & facility affiliations

  • Northern Regional Hospital Hospital, Mount Airy, NC, CCN 340003

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R103598ARMDRegistered Nurse
7859NCMDSpeech-Language Pathologist
007859NCMDCertified Registered Nurse Anesthetist
APRN88183WVMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Triangle Anesthesia Group PSC Nurse Anesthetist, Certified Registered CurrentSince Dec 26, 2022 Accepting new patients
Youngs Professional Services LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 2, 2022 Accepting new patients
Southern Regional Anesthesiology Consultants PLLC CurrentSince Jun 13, 2022 Accepting new patients
Cumberland Anesthesia Group LLC Past Accepting new patients

Locations

700 W Grove St
El Dorado, AR 71730
Phone (870) 863-2200

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

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

100 Medical Dr
Hazard, KY 41701
Phone (606) 439-6600

425 Lewis Hargett Cir
Lexington, KY 40503
Phone (606) 679-9322

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.

Hospital & facility affiliations 1

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": "1294617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757980800000",
    "number": "1891099552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 PEACHTREE RD STE 300",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288033505",
            "telephone_number": "828-210-9386",
            "fax_number": "901-382-8070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 ROCKFORD ST",
            "city": "MOUNT AIRY",
            "state": "NC",
            "postal_code": "270305322",
            "telephone_number": "336-719-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORTNER",
        "first_name": "CINDY",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-10",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "007859",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AR",
            "license": "R103598",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WV",
            "license": "APRN88183",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AR",
            "license": "C002999",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KY",
            "license": "3018457",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "15505",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1891099552",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "205864001",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE - SOUTH REGION",
            "identifier": "1891099552",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Airy, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2025; 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.