Individual provider Active NPI

Amy D Goodman, CRNA

  • Clinic/Center
  • Rogers, AR
National Provider Identifier
1942292701
Registry record updated Apr 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
2974 Issued in CA
Practice address
3728 S Pinnacle Hills Pkwy Ste 100
Rogers, AR 72758-7031
Phone
(970) 379-5531
NPI assigned
Aug 18, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X CRNA-183907 CO
Clinic/Center 261Q00000X 2974 CA Primary
Certified Registered Nurse Anesthetist 367500000X 227213 AR
Certified Registered Nurse Anesthetist 367500000X CRNA000233 NV

Addresses

Primary practice location

3728 S Pinnacle Hills Pkwy Ste 100
Rogers, AR 72758-7031

Mailing address

6303 SW Rutland Rd Apt 302
Bentonville, AR 72713-8186
Phone (970) 379-5531

Other identifiers 1

IdentifierTypeStateIssuer
100503782MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, AR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110826000020 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 7810969714 Reassigns benefits to 1 organization
I20240228003033 AR Practitioner - Certified Registered Nurse Anesthetist (Crna) 7810969714 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Youngs Professional Services LLCGroup PAC ID 2163524992, 297 clinicians

Practice addresses (Care Compare)

3728 S Pinnacle Hills Pkwy
Suite 100
Rogers, AR 72758-7031
Phone (479) 254-8508

Hospital & facility affiliations

  • Northwest Medical Center-Springdale Hospital, Springdale, AR, CCN 040022

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2974CAMDClinic/Center
CRNA-183907COMDCertified Registered Nurse Anesthetist
CRNA000233NVMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Amsurg San Luis Obispo Anesthesia, LLC Clinic/Center CurrentSince Jul 2, 2011 Accepting new patients
Premier Anesthesia of Arkansas Professional Corporation Clinic/Center CurrentSince Jan 29, 2024 Accepting new patients
Northland Anesthesiology Inc Clinic/Center Past Accepting new patients
Midwest Anesthesia Associates, PA Clinic/Center Past Accepting new patients
John T Goodsell DO PC Gregory Linderer MD LTD Clinic/Center PastSince Nov 18, 2009 Accepting new patients

Locations

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

77 Casa St
Ste 106
Sn Luis Obisp, CA 93405
Phone (805) 541-1021

1320 Las Tablas Rd
Templeton, CA 93465
Phone (805) 434-0025

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

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": "1124323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776729600000",
    "number": "1942292701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6303 SW RUTLAND RD APT 302",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727138186",
            "telephone_number": "970-379-5531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3728 S PINNACLE HILLS PKWY STE 100",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727587031",
            "telephone_number": "970-379-5531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODMAN",
        "first_name": "AMY",
        "middle_name": "D",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-18",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CO",
            "license": "CRNA-183907",
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "2974",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AR",
            "license": "227213",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NV",
            "license": "CRNA000233",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100503782",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rogers, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2026; 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.