ST. MARY'S SPECIALTY LLC
NPI 1831730670
Anesthesiology in Russellville, AR

Active since October 02, 2019
1808 W MAIN ST, RUSSELLVILLE, AR 72801(479) 968-2841 Get Directions Write a Review

NPPES record last updated: February 11, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 11, 2022, Oct 2, 2019 (2 updates tracked since 2019).

About St. Mary's Specialty Llc NPPES

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

ST. MARY'S SPECIALTY LLC (NPI 1831730670) is a healthcare organization registered as an anesthesiology in Russellville, Arkansas and active in the NPI registry since October 2019. The organization lists Terrance Dillon, Assistant Secretary, as its authorized official.

NPPES Registry Identity

NPI1831730670
Entity TypeOrganization
Primary Taxonomy207L00000X
Legal Business NameST. MARY'S SPECIALTY LLC
Location Address1808 W MAIN STRussellville, AR 72801-2724
Mailing Address330 Seven Springs WayBrentwood, TN 37027-5098 · (615) 920-7782 · Fax (615) 920-8775
Organization SubpartNo
Authorized OfficialTerrance DillonAssistant Secretary · (502) 596-7220
Enumeration DateOctober 2, 2019
Last NPPES UpdateFebruary 11, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 11, 2022
✔ NPI 1831730670 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
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.
1808 W MAIN ST, Russellville, AR 72801

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

St. Mary's Specialty Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

8

Medicare enrollment records show 8 clinicians reassign Medicare billing to St. Mary's Specialty LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 6 within 10 miles. They are listed nearest first.

Clinicians, nearest first (8)

Certified Registered Nurse Anesthetist (CRNA)
NPI 1194485946
1808 W MAIN ST
Russellville, AR 72801
(479) 968-2841
✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1013111517
1808 W MAIN ST
Russellville, AR 72801
(479) 968-2841
✔ Accepts Medicare2.2 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1972504801
1808 W MAIN ST
Russellville, AR 72801
(479) 968-2841
✔ Accepts Medicare2.2 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1578534970
1808 W MAIN ST
Russellville, AR 72801
(479) 968-2841
✔ Accepts Medicare2.2 mi
Anesthesiology
NPI 1730180753
1808 W MAIN ST
Russellville, AR 72801
(479) 968-2841
✔ PECOS✔ Accepts Medicare2.2 mi
Anesthesiology
NPI 1790786408
1808 W MAIN ST
Russellville, AR 72801
(479) 968-2841
✔ PECOS✔ Accepts Medicare2.2 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1376747873
6119 MIDTOWN AVE SUITE 201
Little Rock, AR 72205
(501) 664-4532
✔ Accepts Medicare57 mi
Anesthesiology
NPI 1932581378
2345 DOUGHERTY FERRY RD
Saint Louis, MO 63122
(314) 966-9491
✔ PECOS✔ Accepts Medicare271 mi

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

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 St. Mary's Specialty LLC's NPI number?

The NPI number for St. Mary's Specialty LLC is 1831730670. It was assigned to this organization in the NPPES registry on October 2, 2019.

Where is St. Mary's Specialty LLC located?

St. Mary's Specialty LLC is located at 1808 W Main St, Russellville, AR 72801. The listed phone number is (479) 968-2841.

What is St. Mary's Specialty LLC's specialty?

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

Is St. Mary's Specialty LLC enrolled in Medicare?

Yes. St. Mary's Specialty LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through St. Mary's Specialty LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 2 Medicare specialties reassign their Medicare billing to St. Mary's Specialty LLC. A 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 the clinician's services. The largest specialties are Certified Registered Nurse Anesthetist (CRNA) (5) and Anesthesiology (3). Of these, 1 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does St. Mary's Specialty LLC accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list St. Mary's Specialty LLC 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 St. Mary's Specialty LLC was last updated on February 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.