Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Grant Gebhardt, BSN, RN

Individual provider Registered Nurse · NPI 1063035038

Grant Gebhardt, BSN, RN is a Certified Registered Nurse Anesthetist (CRNA) in Fayetteville, Arkansas. Qualified in 2024, 2 years ago. Practices with Premier Anesthesia of Arkansas Professional Corporation, a 88-clinician group and accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
2
Licensed in
AR
In the registry since
2020
Specialties on file
2
What do these letters mean?
BSN — Bachelor of Science in Nursing
A four-year nursing degree.
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

3215 N Northhills Blvd
Fayetteville, AR 72703-4424
Phone: (479) 463-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 230182 (AR)
Registered Nurse Taxonomy 163W00000X · Licence R108631 (AR)

Record details

NPI number1063035038
Entity typeIndividual (Type 1)
GenderMale
Credentials BSN , RN
Sole proprietorNo
NPI enumeratedMay 25, 2020
Last updated in NPPESAugust 24, 2024
Certification dateAugust 24, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Premier Anesthesia Of Arkansas Professional Corporation — 88 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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