Individual provider Active NPI

Nicole Mitchell

  • Family Nurse Practitioner
  • Helena, AR
National Provider Identifier
1003704958
Registry record updated Sep 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
234035 Issued in AR
Practice address
513 Porter St
Helena, AR 72342-3217
Phone
(870) 817-0122
NPI assigned
Jun 26, 2025
Last updated
Sep 24, 2025By the provider in NPPES
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 234035 AR Primary

Addresses

Primary practice location

513 Porter St
Helena, AR 72342-3217

Mailing address

900 N 7TH St
West Memphis, AR 72301-2001

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
I20251016001951 AR Practitioner - Nurse Practitioner 1951898519 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East Arkansas Family Health Center, IncGroup PAC ID 1052390390, shared by 12 NPIs, 30 clinicians

Practice addresses (Care Compare)

1008 W Main St
Marvell, AR 72366-9486
Phone (870) 735-3842

417 W Main St
Trumann, AR 72472-3116
Phone (870) 483-1025

900 N 7TH St
West Memphis, AR 72301-2001
Phone (870) 735-3846

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
East Arkansas Family Health Center, Inc CurrentSince Sep 10, 2025 Accepting new patients
East Arkansas Family Health Center, Inc CurrentSince Sep 10, 2025 Accepting new patients
East Arkansas Family Health Center Inc. CurrentSince Sep 10, 2025 Accepting new patients
East Arkansas Family Health Center Inc. Current Accepting new patients

Locations

513 Porter St
Helena, AR 72342
Phone (870) 817-0122

1008 W Main St
Marvell, AR 72366
Phone (870) 735-3842

417 W Main St
Trumann, AR 72472
Phone (870) 483-1025

900 N 7th St
West Memphis, AR 72301
Phone (870) 735-3842

Interoperability endpoints

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

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1750896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758672000000",
    "number": "1003704958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 N 7TH ST",
            "city": "WEST MEMPHIS",
            "state": "AR",
            "postal_code": "723012001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 PORTER ST",
            "city": "HELENA",
            "state": "AR",
            "postal_code": "723423217",
            "telephone_number": "870-817-0122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-06-26",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "234035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Helena, AR

Sources for this page

Verify at the official NPI Registry.