Individual provider Active NPI

Rollie S Walker, APRN

  • Family Nurse Practitioner
  • Harrison, AR
National Provider Identifier
1003426396
Registry record updated Nov 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
223719 Issued in AR
Practice address
1002 N Spring St
Harrison, AR 72601-2918
Phone
(870) 741-6373
Fax
(870) 741-5102
NPI assigned
Aug 3, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 223719 AR Primary
Family Nurse Practitioner 363LF0000X 86183 OK

Addresses

Primary practice location

1002 N Spring St
Harrison, AR 72601-2918

Mailing address

PO Box 1060
Marshall, AR 72650-1060
Phone (870) 448-5733

Other identifiers 2

IdentifierTypeStateIssuer
223719OtherARARKANSAS STATE BOARD OF NURSING
303195758MedicaidAR

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230630000284 AR Practitioner - Nurse Practitioner 2860811460 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1002 N Spring St
Harrison, AR 72601-2918
Phone (870) 741-6373

934 N Gaskill St
Huntsville, AR 72740-8903
Phone (479) 738-5500

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
223719ARMDFamily Nurse Practitioner
86183OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Boston Mountain Rural Health Center Inc CurrentSince May 30, 2023 Accepting new patients
Boston Mountain Rural Health Center, Inc CurrentSince May 30, 2023 Accepting new patients

Locations

1002 N Spring St
Harrison, AR 72601
Phone (870) 741-6373

934 N Gaskill St
Huntsville, AR 72740
Phone (479) 738-5500

2263 Highway 65 N
Marshall, AR 72650
Phone (870) 741-6065

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CAGGCA
  • FHIR API: https://fhir4.healow.com/fhir/r4/HCEGAA/Endpoint/HCEGAA

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 and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1596412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762473600000",
    "number": "1003426396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1060",
            "city": "MARSHALL",
            "state": "AR",
            "postal_code": "726501060",
            "telephone_number": "870-448-5733",
            "fax_number": "870-741-5102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 N SPRING ST",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "726012918",
            "telephone_number": "870-741-6373",
            "fax_number": "870-741-5102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "ROLLIE",
        "middle_name": "S",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-08-03",
        "last_updated": "2025-11-07",
        "certification_date": "2025-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "223719",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "86183",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARKANSAS STATE BOARD OF NURSING",
            "identifier": "223719",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "303195758",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrison, AR

Sources for this page

Verify at the official NPI Registry.