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NICOLE ROARK M.D.
NPI 1720533292
Anesthesiology in Little Rock, AR

Active since August 24, 2016PECOS EnrolledAccepts Medicare Assignment
1 CHILDRENS WAY # 203, LITTLE ROCK, AR 72202(501) 364-3933(501) 364-2939 Get Directions Write a Review

NPPES record last updated: July 23, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 11, 2022, Aug 24, 2016 (2 updates tracked since 2016).

About Nicole Roark M.d. NPPES

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

NICOLE ROARK M.D. (NPI 1720533292) is an individual anesthesiology provider in Little Rock, Arkansas, licensed in Texas (45445) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS, is affiliated with Hendrick Medical Center, and maintains a secondary practice location in Galveston.

NPPES Registry Identity

NPI1720533292
Entity TypeIndividualFemale
Primary Taxonomy207L00000X
Provider Legal NameNICOLE ROARKCredential: M.D.
Location Address1 CHILDRENS WAY # 203Little Rock, AR 72202-3500
Mailing Address1 Childrens Way # 653Little Rock, AR 72202-3500 · (501) 364-1100 · Fax (501) 364-4082
Phone(501) 364-3933
Fax(501) 364-2939
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateAugust 24, 2016
Last NPPES UpdateJuly 23, 20252 updates tracked since enumeration
NPPES CertifiedJuly 23, 2025
✔ NPI 1720533292 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
Licenses✔ Licensed in TX · 45445✔ Licensed in AR · E-15641
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
Also ListedAnesthesiology · Pediatric AnesthesiologyTaxonomy 207LP3000X · License E-1561 (AR)
1 CHILDRENS WAY # 203, Little Rock, AR 72202
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Secondary Practice Location 1

Location 1301 University BlvdGalveston, TX 77555-5302 · Phone (409) 772-6347 · Fax (409) 772-6409

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nicole Roark M.d. 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 ID3173807039
PECOS Enrollment IDI20170222000097
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Nicole Roark reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Arkansas Childrens Hospital
Same address
Pediatrics
1 CHILDRENS WAY # 664
Little Rock, AR 72202
  • Reassigned Medicare billing, Arkansas enrollment
  • 944 clinicians in this Medicare group
NPI 1598773079 (501) 364-2526
University Of Arkansas For Medical Sciences
3.2 mi
Family Medicine
1401 W CAPITOL AVE
Little Rock, AR 72201
  • Reassigned Medicare billing, Arkansas enrollment
  • Also billed through NPI 1114255353 (Arkansas)
  • 2,038 clinicians in this Medicare group
NPI 1932872975 (501) 686-8000
Hendrick Anesthesia Network
460 mi
Specialist
1900 PINE ST
Abilene, TX 79601
  • Reassigned Medicare billing, Texas enrollment
  • 204 clinicians in this Medicare group
NPI 1851394993 (325) 670-4220

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Hendrick Medical Center

Acute Care Hospitals · Abilene, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450229
Location1900 PineAbilene, TX 79601 · Taylor County
Emergency services Birthing friendly

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.

MRS. TATIANA PUNTARELLI MD
Anesthesiology
1 CHILDRENS WAY # 203
LITTLE ROCK, AR 72202
Pulaski County (501) 364-1100
MS. CANDACE MAY GOODWIN CRNA
Nurse Anesthetist, Certified Registered
1 CHILDRENS WAY # 203
LITTLE ROCK, AR 72202
Pulaski County (501) 364-3433
JOHN L TRULOVE CRNA, DNP
Nurse Anesthetist, Certified Registered
1 CHILDRENS WAY # 203
LITTLE ROCK, AR 72202
Pulaski County (501) 364-3433
JACLYN B BLAYLOCK CRNA
Nurse Anesthetist, Certified Registered
1 CHILDRENS WAY # 203
LITTLE ROCK, AR 72202
Pulaski County (501) 364-3933
DR. SARAH M COFFIELD DO
Anesthesiology (Pediatric Anesthesiology)
1 CHILDRENS WAY # 203
LITTLE ROCK, AR 72202
Pulaski County (501) 364-3933
ALFREDO BURGOS BRICENO
Anesthesiology
1 CHILDRENS WAY # 203
LITTLE ROCK, AR 72202
Pulaski County (501) 364-2933
DR. PEDRO JOSE SOLORZANO ARATHOON MD
Anesthesiology (Pediatric Anesthesiology)
1 CHILDRENS WAY # 203
LITTLE ROCK, AR 72202
Pulaski County (501) 364-1100
DAVID PATRICK FITZGERALD MD
Anesthesiology
1 CHILDRENS WAY # 203
LITTLE ROCK, AR 72202
Pulaski County (501) 364-1100

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 Nicole Roark's NPI number?

The NPI number for Nicole Roark is 1720533292. It was assigned to this individual provider in the NPPES registry on August 24, 2016.

Where is Nicole Roark located?

Nicole Roark practices at 1 Childrens Way # 203, Little Rock, AR 72202. The listed phone number is (501) 364-3933.

What is Nicole Roark's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Nicole Roark enrolled in Medicare?

Yes. Nicole Roark 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.

Which organizations bill Medicare for Nicole Roark's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Roark reassigns Medicare benefits to 3 organizations: Arkansas Childrens Hospital (Little Rock, AR), University Of Arkansas For Medical Sciences (Little Rock, AR) and Hendrick Anesthesia Network (Abilene, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nicole Roark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicole Roark accept?

Health plans from Arkansas Blue Cross and Blue Shield, Blue Cross and Blue Shield of Texas, Health Advantage and Octave list Nicole Roark 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.

Is Nicole Roark affiliated with any hospitals?

According to CMS data, Nicole Roark is affiliated with Hendrick Medical Center.

When was this NPI record last updated?

The NPPES record for Nicole Roark was last updated on July 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.