Modern Anesthesia Consultants, LLC
NPI 1659976751ActiveOrganization· Nurse Anesthetist, Certified Registered· Conway, AR
Nurse Anesthetist, Certified Registered in Conway, Arkansas, registered in NPPES in December 2020. The authorized official on file is Crystal D. Gibson, Ar/Credentialing Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1659976751 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 4, 2020 |
| Last updated in NPPES | Dec 4, 2020 |
| Certified by provider | Dec 4, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Anesthetist, Certified Registered Primary | 367500000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (AR) |
|---|
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