THERESA B HALLIBURTON CRNA
NPI 1922176437
Nurse Anesthetist, Certified Registered in Fort Smith, AR

Active since December 01, 2006Accepts Medicare Assignment
11115 SO WALDRON RD, 107, FORT SMITH, AR 72903(479) 452-1581(479) 452-2148 Get Directions Write a Review

NPPES record last updated: June 24, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Theresa B Halliburton Crna NPPES

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

THERESA B HALLIBURTON CRNA (NPI 1922176437) is an individual nurse anesthetist, certified registered in Fort Smith, Arkansas, licensed in Arkansas (C01018 CRNA) and active in the NPI registry since December 2006. She is a graduate of Other (1995).

NPPES Registry Identity

NPI1922176437
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameTHERESA B HALLIBURTONCredential: CRNA
Location Address11115 SO WALDRON RD, 107Fort Smith, AR 72903-2584
Mailing AddressPo Box 11880Fort Smith, AR 72917-1880 · (479) 452-1581 · Fax (479) 452-2149
Fax(479) 452-2148
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateDecember 1, 2006
Last NPPES UpdateJune 24, 2014
✔ NPI 1922176437 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 · C01018 CRNA
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.
11115 SO WALDRON RD, Fort Smith, AR 72903

Other Names 1

Former Name (1)Theresa B Mcdermott Cra

Other Identifiers 2

Medicaid136416701AR
Medicare UPIN5U294AR

Accepted 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

Theresa B Halliburton 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 ID7113053349
PECOS Enrollment IDI20100326000924

Medicare Billing Reassignments

3

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

Anesthesiology
2301 S 56TH ST, STE 110
Fort Smith, AR 72903
  • Reassigned Medicare billing, Arkansas enrollment
  • 60 clinicians in this Medicare group
Anesthesiology
2301 S 56TH ST, SUITE 110
Fort Smith, AR 72903
  • Reassigned Medicare billing, Arkansas enrollment
  • 52 clinicians in this Medicare group
Anesthesiology
7301 ROGERS AVE
Fort Smith, AR 72903
  • Reassigned Medicare billing, Arkansas enrollment
  • 168 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72903 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.

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 Theresa Halliburton's NPI number?

The NPI number for Theresa Halliburton is 1922176437. It was assigned to this individual provider in the NPPES registry on December 1, 2006. The provider is also known as Theresa B Mcdermott Cra.

Where is Theresa Halliburton located?

Theresa Halliburton practices at 11115 So Waldron Rd 107, Fort Smith, AR 72903. The listed phone number is (479) 452-1581.

What is Theresa Halliburton's specialty?

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

Is Theresa Halliburton enrolled in Medicare?

Yes. Theresa Halliburton 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 Theresa Halliburton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Theresa Halliburton reassigns Medicare benefits to 3 organizations: Western Arkansas Anesthesiology Associates P.A. (Fort Smith, AR), Western Arkansas Obstetric Anesthesia LLC (Fort Smith, AR) and Renew Medical Group Of Arkansas Ltd (Fort Smith, AR). 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 Theresa Halliburton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Theresa Halliburton accept?

Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage and Octave list Theresa Halliburton 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 Theresa Halliburton was last updated on June 24, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.