Chicot Memorial Medical Center
NPI 1457676942 · Certified Registered Nurse Anesthetist · Lake Village, AR
Enrolled with Medicare as Part B Supplier - Hospital Department(s) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Chicot Memorial Medical Center is a Certified Registered Nurse Anesthetist organization in Lake Village, AR (NPI 1457676942).
Provider details
- NPI number
- 1457676942
- Entity type
- Organization
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Parent organization
- Chicot Memorial Medical Center
- Organization subpart
- Yes
- Authorized official
- Susan Vaughn, Cfo(870) 265-5351
- License
- C00578 (AR)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2010-03-29
- Last updated
- 2015-06-25
Frequently asked questions
- What is Chicot Memorial Medical Center's NPI number?
- Chicot Memorial Medical Center's National Provider Identifier (NPI) is 1457676942, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Chicot Memorial Medical Center?
- Chicot Memorial Medical Center is classified in the NPPES registry as Certified Registered Nurse Anesthetist (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Chicot Memorial Medical Center located?
- Chicot Memorial Medical Center's practice location on file with NPPES is 2729 Hwy 65 & 82 S, Lake Village, AR 71653-6136.
- What is Chicot Memorial Medical Center's phone number?
- The practice phone number listed in the NPPES registry for Chicot Memorial Medical Center is (870) 265-5351.
- Does Chicot Memorial Medical Center accept Medicare?
- Chicot Memorial Medical Center is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Chicot Memorial Medical Center?
- The authorized official listed on Chicot Memorial Medical Center's NPPES record is Susan Vaughn, Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Chicot Memorial Medical Center's NPI active?
- Yes — Chicot Memorial Medical Center's NPI (1457676942) is active in the NPPES registry as of the last update on 2015-06-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.