Individual provider Active NPI

Miranda Erin Edgar, APRN

  • Family Nurse Practitioner
  • Hot Springs, AR
National Provider Identifier
1013568997
Registry record updated Sep 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
120122 Issued in AR
Practice address
1629 Airport Rd Ste B
Hot Springs, AR 71913-8069
Phone
(501) 767-0075
Fax
(501) 760-2739
NPI assigned
Sep 23, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2019

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 120122 AR Primary

Addresses

Primary practice location

1629 Airport Rd Ste B
Hot Springs, AR 71913-8069

Mailing address

1661 Airport Rd Ste D
Hot Springs, AR 71913-8184
Phone (501) 625-7500

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
I20191022001452 AR Practitioner - Nurse Practitioner 9638401813 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Healthstar Physicians of Hot Springs PLLC 51 clinicians

Practice addresses (Care Compare)

120 Adcock Rd
Hot Springs, AR 71913-7958
Phone (501) 651-4500

248 Hwy 70 E
Glenwood, AR 71943-8801
Phone (870) 356-4801

Hospital & facility affiliations

  • Elite Home Health Home health agency, Hot Springs, AR, CCN 047151
  • CHI St. Vincent Hospital Hot Springs Hospital, Hot Springs, AR, CCN 040026
  • National Park Medical Center Hospital, Hot Springs, AR, CCN 040078

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
120122ARMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healthstar Physicians of Hot Springs, PLLC Current Accepting new patients
Healthstar Physicians of Hot Springs, PLLC CurrentSince Oct 1, 2019 Accepting new patients
Healthstar Physicians of Hot Springs, PLLC CurrentSince Oct 1, 2019 Accepting new patients
Healthstar Physicians of Hot Springs CurrentSince Nov 18, 2024 Accepting new patients
Healthstar Physicians of Hot Springs, PLLC Past Accepting new patients

Locations

120 Adcock Rd
#B
Hot Springs, AR 71913
Phone (501) 767-1538

1661 Airport Rd
Ste D
Hot Springs National Park, AR 71913
Phone (501) 547-5718

1661 Airport Rd
Ste F
Hot Springs National Park, AR 71913
Phone (501) 651-4300

1629 Airport Rd
Ste B
Hot Springs National Park, AR 71913
Phone (501) 767-0075

120 Adcock Rd
#A
Hot Springs National Park, AR 71913
Phone (501) 651-4500

Interoperability endpoints

  • Direct secure messaging: miranda.edgar.1@16721.direct.athenahealth.com

Organizations & group practices 6

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 8

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": "1569196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569196800000",
    "number": "1013568997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1661 AIRPORT RD STE D",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719138184",
            "telephone_number": "501-625-7500",
            "fax_number": "501-625-7777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1629 AIRPORT RD STE B",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719138069",
            "telephone_number": "501-767-0075",
            "fax_number": "501-760-2739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDGAR",
        "first_name": "MIRANDA",
        "middle_name": "ERIN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-23",
        "last_updated": "2019-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "120122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hot Springs, AR

Sources for this page

Verify at the official NPI Registry.