Active NPI
Chris Ivy, CRNA
- Certified Registered Nurse Anesthetist
- Hot Springs, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- C02660
- Practice address
- 1910 Malvern Ave
Hot Springs, AR 71901-7752 - Phone
- (501) 321-1000
- Fax
- (870) 722-2421
- NPI assigned
- Apr 25, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | CTP-000039 | AR | |
| Certified Registered Nurse Anesthetist | 367500000X | C02660 | AR | Primary |
Addresses
Primary practice location
1910 Malvern Ave
Hot Springs, AR 71901-7752
Mailing address
PO Box 22390
Hot Springs, AR 71903-2390
Phone (877) 649-7812
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00440980 | Other | RR MEDICARE GROUP CK6327 | |
| 5A372 | Other | AR | BCBS AR |
| 165279001 | Medicaid | AR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11700 Cantrell Rd
Little Rock, AR 72223-1705
Phone (501) 664-6980
1910 Malvern Ave
Hot Springs, AR 71901-7752
Phone (501) 321-1000
Hospital & facility affiliations
- National Park Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C02660 | AR | MD | Certified Registered Nurse Anesthetist |
| CTP-000039 | AR | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ouachita Regional Anesthesia PLLC | Current | Accepting new patients | |
| Central Arkansas Radiation Therapy Institute Inc | Current | Accepting new patients | |
| Gastroenterology Associates PA | Current | Accepting new patients | |
| Central Arkansas Radiation Therapy Institute Inc | Current | Accepting new patients | |
| Premier Gastroenterology Associates PLLC | Current | Accepting new patients | |
| BP Anesthesia, PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Premier Gastroenterology Associates PLLC | Current | Accepting new patients | |
| Central Arkansas Radiation Therapy Institute Inc | Current | Accepting new patients | |
| Little Rock Outpatient Surgery Center, LLC | Past | Accepting new patients | |
| Little Rock Outpatient Surgery Center, LLC | Past | Accepting new patients |
Locations
2500 Highway 65 S
Clinton, AR 72031
Phone (501) 745-7000
455 Hogan Ln
Conway, AR 72034
Phone (501) 513-0799
2001 S Main St
Hope, AR 71801
Phone (870) 722-3800
3320 Central Ave
Hot Springs, AR 71913
Phone (501) 321-0560
1910 Malvern Ave
Hot Springs National Park, AR 71901
Phone (501) 321-1000
10915 N Rodney Parham Rd
Ste B
Little Rock, AR 72212
Phone (501) 747-2828
11700 Cantrell Rd
Little Rock, AR 72223
Phone (501) 664-6980
8901 Carti Way
Little Rock, AR 72205
Phone 50190630003044
8820 Knoedl Ct
Little Rock, AR 72205
Phone (501) 224-6767
Organizations & group practices 10
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
- Little Rock, AR
- NPI 1851395792
-
- Anesthesiology Physician
- Hot Springs, AR
- NPI 1982699153
-
- Certified Registered Nurse Anesthetist
- Little Rock, AR
- NPI 1942736285
Nurse Anesthetist, Certified Registered
-
- Hematology & Oncology Physician
- Little Rock, AR
- NPI 1508147810
-
- Gastroenterology Physician
- Little Rock, AR
- NPI 1538663729
-
- Ambulatory Surgical Clinic/Center
- Little Rock, AR
- NPI 1902472715
-
- Audiologist
- Little Rock, AR
- NPI 1932775749
-
- Ambulatory Surgical Clinic/Center
- Little Rock, AR
- NPI 1073079596
-
- Ambulatory Surgical Clinic/Center
- Little Rock, AR
- NPI 1548256365
-
- Ambulatory Surgical Clinic/Center
- Little Rock, AR
- NPI 1861488587
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hot Springs, AR
- NPI 1841241833
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414022400000",
"number": "1952520132",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 22390",
"city": "HOT SPRINGS",
"state": "AR",
"postal_code": "719032390",
"telephone_number": "877-649-7812",
"fax_number": "918-392-2941"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1910 MALVERN AVE",
"city": "HOT SPRINGS",
"state": "AR",
"postal_code": "719017752",
"telephone_number": "501-321-1000",
"fax_number": "870-722-2421"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IVY",
"first_name": "CHRIS",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-25",
"last_updated": "2014-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "AR",
"license": "CTP-000039",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "AR",
"license": "C02660",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE GROUP CK6327",
"identifier": "P00440980",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS AR",
"identifier": "5A372",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "165279001",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hot Springs, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2014; 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.