Individual provider Active NPI

Marva B. Heckert, CRNA

  • Certified Registered Nurse Anesthetist
  • North Little Rock, AR
National Provider Identifier
1942365440
Registry record updated Apr 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
051999 Issued in AR
Practice address
3401 Springhill Dr Ste 155
North Little Rock, AR 72117-2934
Phone
(501) 945-5800
NPI assigned
Dec 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2020

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 051999 AR Primary

Addresses

Primary practice location

3401 Springhill Dr Ste 155
North Little Rock, AR 72117-2934

Mailing address

11001 Executive Center Dr
Suite 200
Little Rock, AR 72211-4316

Other identifiers 1

IdentifierTypeStateIssuer
146022701MedicaidAR

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110119001273 DE Practitioner - Certified Registered Nurse Anesthetist (Crna) 2860552403 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Advantage PCGroup PAC ID 9335048693, 15 clinicians

Practice addresses (Care Compare)

17015 Old Orchard Rd
Unit 4
Lewes, DE 19958-4849
Phone (302) 644-3466

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
051999ARMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Advantage PC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2025 Accepting new patients
Lewes de Endoscopy ASC LLC Nurse Anesthetist, Certified Registered CurrentSince Nov 15, 2010 Accepting new patients
Lewes de Endoscopy ASC LLC CurrentSince Nov 15, 2010 Accepting new patients
Bayhealth Medical Center, Inc. CurrentSince Sep 8, 2022 Accepting new patients
Bayhealth Medical Center, Inc CurrentSince Sep 8, 2022 Accepting new patients
Anesthesia Advantage of Delaware, P.a. Nurse Anesthetist, Certified Registered CurrentSince Jan 14, 2022 Accepting new patients
Delaware Anesthesia Associates, PA CurrentSince Jul 22, 2021 Accepting new patients
Bayhealth Medical Center, Inc. CurrentSince Sep 8, 2022 Accepting new patients
Anesthesiology Services LTD Past Accepting new patients

Locations

640 S State St
Dover, DE 19901
Phone (302) 744-4700

100 Scull Ter
Dover, DE 19901
Phone (302) 270-2798

34444 King Street Row
Lewes, DE 19958
Phone (302) 644-3852

424 Savannah Rd
Lewes, DE 19958
Phone (302) 441-1078

100 Wellness Way
Milford, DE 19963
Phone (302) 422-3311

18941 John J Williams Hwy
Rehoboth Beach, DE 19971
Phone (302) 644-6992

18791 John J Williams Hwy
Rehoboth Beach, DE 19971
Phone (302) 313-5066

Organizations & group practices 9

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": "1167091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586908800000",
    "number": "1942365440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11001 EXECUTIVE CENTER DR",
            "address_2": "SUITE 200",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722114316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 SPRINGHILL DR STE 155",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721172934",
            "telephone_number": "501-945-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HECKERT",
        "first_name": "MARVA",
        "middle_name": "B.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-26",
        "last_updated": "2020-04-15",
        "certification_date": "2020-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AR",
            "license": "051999",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "146022701",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2020; 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.