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WALTER P THERIOT CRNA
NPI 1356346316
Nurse Anesthetist, Certified Registered in Pine Bluff, AR

Active since June 16, 2005Accepts Medicare Assignment
1801 W 40TH AVE, STE 2B, PINE BLUFF, AR 71603(870) 535-7457(870) 535-2522 Get Directions Write a Review

NPPES record last updated: June 24, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Walter P Theriot Crna NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WALTER P THERIOT CRNA (NPI 1356346316) is an individual nurse anesthetist, certified registered in Pine Bluff, Arkansas, licensed in Arkansas (C00615) and active in the NPI registry since June 2005. He is a graduate of Other (1988).

NPPES Registry Identity

NPI1356346316
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameWALTER P THERIOTCredential: CRNA
Location Address1801 W 40TH AVE, STE 2BPine Bluff, AR 71603-6957
Mailing AddressPo Box 1272Pine Bluff, AR 71613-1272 · (870) 535-7457 · Fax (870) 535-2522
Phone(870) 535-7457
Fax(870) 535-2522
Sole ProprietorNo
Medical School CMSOtherGraduated 1988
Enumeration DateJune 16, 2005
Last NPPES UpdateJune 24, 2008
✔ NPI 1356346316 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in AR · C00615
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
1801 W 40TH AVE, Pine Bluff, AR 71603
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Other Identifiers 4

Other59655AR · Bcbs
Other050072344Rrmcr/pgba
Medicare PIN59655AR
Medicaid127519701AR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Arkansas Blue Cross and Blue Shield, Health Advantage, Octave.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Walter P Theriot Crna is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5698960268
PECOS Enrollment IDI20101109000301

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 71603 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$119.36 typical visit price
range $51.36 – $157.74
Typical copayment $29.84 (range $12.84 – $39.43)
Most-billed visit code 99204
Established Patient
$64.56 typical visit price
range $16.16 – $128.77
Typical copayment $16.14 (range $4.04 – $32.19)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JEFFERSON ANESTHESIOLOGY ASSOCIATES
Anesthesiology
1801 W 40TH AVE, SUITE 2B
PINE BLUFF, AR 71603
Jefferson County (870) 535-7457
GARY W MANLY CRNA
Nurse Anesthetist, Certified Registered
1801 W 40TH AVE, STE 2B
PINE BLUFF, AR 71603
Jefferson County (870) 535-7457
JOHN E HARRIS MD PA
Family Medicine
1801 W 40TH AVE, SUITE 5C
PINE BLUFF, AR 71603
Jefferson County (870) 534-0202
FAWAD H WALAJAHI M.D.
Anesthesiology
1801 W 40TH AVE, STE 2B
PINE BLUFF, AR 71603
Jefferson County (870) 535-7457
JONATHAN M LOETSCHER CRNA
Nurse Anesthetist, Certified Registered
1801 W 40TH AVE, SUITE 2B
PINE BLUFF, AR 71603
Jefferson County (870) 535-7457
PINE BLUFF RADIOLOGISTS, LTD
Specialist
1801 W 40TH AVE, SUITE 2C
PINE BLUFF, AR 71603
Jefferson County (870) 534-8651
DR. JAMES L WORKMAN M.D.
Radiology (Diagnostic Radiology)
1801 W 40TH AVE, SUITE 2C
PINE BLUFF, AR 71603
Jefferson County (870) 534-8651
JACQUELYN S. FRIGON, M.D., P.A.
Physical Medicine & Rehabilitation
1801 W 40TH AVE, SUITE 5B
PINE BLUFF, AR 71603
Jefferson County (870) 535-4800

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Walter Theriot's NPI number?

The NPI number for Walter Theriot is 1356346316. It was assigned to this individual provider in the NPPES registry on June 16, 2005.

Where is Walter Theriot located?

Walter Theriot practices at 1801 W 40th Ave Ste 2B, Pine Bluff, AR 71603. The listed phone number is (870) 535-7457.

What is Walter Theriot's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Walter Theriot enrolled in Medicare?

Yes. Walter Theriot is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Walter Theriot accept?

Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage and Octave list Walter Theriot as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Walter Theriot was last updated on June 24, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.