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

Lyle Uttley

Individual provider Certified Registered Nurse Anesthetist · NPI 1750163689

Lyle Uttley is a Certified Registered Nurse Anesthetist (CRNA) in Rogers, Arkansas. Qualified in 2024, 2 years ago. Practices with Renew Medical Group of Arkansas Ltd, a 127-clinician group and accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
2
Licensed in
AR
In the registry since
2023
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Practice location Address checks out

2710 S Rife Medical Ln
Rogers, AR 72758-1452
Phone: (913) 642-4900
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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 228170 (AR)

Record details

NPI number1750163689
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 16, 2023
Last updated in NPPESJune 28, 2024
Certification dateJune 28, 2024
Mailing address975 N Eastwood Dr, Fayetteville, AR 72701-2317

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 Renew Medical Group Of Arkansas Ltd — 127 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Rogers