Active NPI
Joy R Bogart
- Family Nurse Practitioner
- Bentonville, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 230585
- Practice address
- 2900 Medical Center Pkwy Ste 310
Bentonville, AR 72712-3214 - Phone
- (479) 553-4540
- NPI assigned
- Jul 9, 2010
- Last updated
- Nov 22, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 230585 | AR | Primary |
| Registered Nurse | 163W00000X | R72169 | AR |
Addresses
Primary practice location
2900 Medical Center Pkwy Ste 310
Bentonville, AR 72712-3214
Mailing address
1 Childrens Way
Slot 900
Little Rock, AR 72202-3500
Phone (501) 364-3620
Other practice location 1
519 Latham Dr
Lowell, AR 72745-8360
Phone (479) 750-0130
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
101 Sun Meadow Dr
Centerton, AR 72719-9610
Phone (479) 795-0426
2900 Medical Ctr Pkwy
Bentonville, AR 72712-3204
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R72169 | AR | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Benton County Physician Services LLC | Current | Accepting new patients | |
| Northwest Physicians LLC | Past | Accepting new patients |
Locations
2900 Medical Center Pkwy
Ste 310
Bentonville, AR 72712
Phone (479) 553-3310
101 Sun Meadow Dr
Centerton, AR 72719
Phone (479) 273-1426
Interoperability endpoints
- https://api.platform.athenahealth.com/2229/brand/3/csg/621/fhir/r4
- joy.bogart.1@2229.direct.athenahealth.com
- joy.bogart.2@2229.direct.athenahealth.com
- joy.bogart.3@2229.direct.athenahealth.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Bentonville, AR
- NPI 1871553073
-
- Durable Medical Equipment & Medical Supplies
- Springdale, AR
- NPI 1205137536
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Northwest Medical Center
- General Acute Care Hospital
- Springdale, AR
- NPI 1699726695
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732233600000",
"number": "1003128844",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 CHILDRENS WAY",
"address_2": "SLOT 900",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722023500",
"telephone_number": "501-364-3620",
"fax_number": "501-364-3994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2900 MEDICAL CENTER PKWY STE 310",
"city": "BENTONVILLE",
"state": "AR",
"postal_code": "727123214",
"telephone_number": "479-553-4540"
}
],
"practiceLocations": [
{
"address_1": "519 Latham Dr",
"address_purpose": "LOCATION",
"city": "Lowell",
"state": "AR",
"postal_code": "727458360",
"country_code": "US",
"telephone_number": "479-750-0130",
"fax_number": "479-750-0937",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOGART",
"first_name": "JOY",
"middle_name": "R",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-09",
"last_updated": "2024-11-22",
"certification_date": "2024-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AR",
"license": "230585",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "AR",
"license": "R72169",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bentonville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.