Individual provider Active NPI

Michelle L Tulgetske, CRNA

  • Certified Registered Nurse Anesthetist
  • Little Rock, AR
National Provider Identifier
1982691697
Registry record updated Jun 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
C001309 Issued in AR
Practice address
6119 Midtown Ave
Suite 201
Little Rock, AR 72205-5313
Phone
(501) 664-4532
Fax
(501) 663-4335
NPI assigned
Sep 29, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X C001309 AR Primary
Registered Nurse 163W00000X R043232 AR

Addresses

Primary practice location

6119 Midtown Ave
Suite 201
Little Rock, AR 72205-5313

Mailing address

6119 Midtown Ave
Suite 201
Little Rock, AR 72205-5313
Phone (501) 664-4532

Other identifiers 3

IdentifierTypeStateIssuer
430063334OtherARRAILROAD MEDICARE
158382001MedicaidAR
5W398OtherARBLUE CROSS BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070123000542 AR Practitioner - Certified Registered Nurse Anesthetist (Crna) 4183625866 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arkansas Surgical Hospital LLCGroup PAC ID 5496793390, shared by 3 NPIs, 44 clinicians

Practice addresses (Care Compare)

5201 Northshore Dr
Suite 300
North Little Rock, AR 72118-5312
Phone (501) 748-8000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R043232ARMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Arkansas Anesthesia Associates, PLLC. CurrentSince Jul 1, 2021 Accepting new patients
Arkansas Surgical Hospital, LLC CurrentSince Jan 1, 2022 Accepting new patients
Arkansas Surgical Hospital, LLC CurrentSince Jan 1, 2022 Accepting new patients
Southern Regional Anesthesiology Consultants PLLC CurrentSince Jun 9, 2014 Accepting new patients
Arkansas Surgical Hospital, LLC Current Accepting new patients
Western Arkansas Anesthesiology Associates P.a. Past Accepting new patients
McGowan Court Anesthesia Associates LLC Nurse Anesthetist, Certified Registered PastSince May 18, 2025 Accepting new patients

Locations

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

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

500 S University Ave
Ste 505
Little Rock, AR 72205
Phone (501) 588-1100

10301 Kanis Rd
Little Rock, AR 72205
Phone (501) 604-4151

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

5201 Northshore Dr
North Little Rock, AR 72118
Phone (501) 748-8000

5201 Northshore Dr
Ste 300
North Little Rock, AR 72118
Phone (501) 748-8000

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

Organizations & group practices 7

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": "1127952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434499200000",
    "number": "1982691697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6119 MIDTOWN AVE",
            "address_2": "SUITE 201",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722055313",
            "telephone_number": "501-664-4532",
            "fax_number": "501-663-4335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6119 MIDTOWN AVE",
            "address_2": "SUITE 201",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722055313",
            "telephone_number": "501-664-4532",
            "fax_number": "501-663-4335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TULGETSKE",
        "first_name": "MICHELLE",
        "middle_name": "L",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-29",
        "last_updated": "2015-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AR",
            "license": "C001309",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AR",
            "license": "R043232",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "430063334",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "158382001",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "5W398",
            "state": "AR"
        }
    ],
    "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 Jun 17, 2015; 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.