Debra Charlene West, APN
Individual provider Active NPI Family Nurse Practitioner · De Witt, AR
NPI 1023082575 · NPPES record last updated Apr 18, 2025
Key facts
- NPI
- 1023082575
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- A01288ANP (AR)
- Practice address
- 402 S Main St
De Witt, AR 72042-2618 - Phone
- (870) 946-0079
- Fax
- (870) 946-0090
- NPI assigned
- Feb 13, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
402 S Main St
De Witt, AR 72042-2618
Phone (870) 946-0079
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040715000142 | AR | Practitioner - Nurse Practitioner | 3678552577 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A01288ANP | AR | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Haven Village, LLC | Current |
Accepting new patients | |
| West Point LLC | Current |
Accepting new patients | |
| At Home Assistance, LLC | Current | Accepting new patients | |
| Icarepro of Texas, PA | Past |
Accepting new patients | |
| Dewitt Family Practice | Past | Accepting new patients | |
| Stuttgart Regional Medical Center | Past | Accepting new patients | |
| Stuttgart Regional Medical Center | Past | Accepting new patients | |
| Van M Dunn | Past | Accepting new patients |
Locations
402 S Main St
De Witt, AR 72042
Phone (870) 280-2621
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/EIDDDD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | A01288ANP | AR | Yes |
Addresses
Primary practice location
402 S Main St
De Witt, AR 72042-2618
Mailing address
402 S Main St
De Witt, AR 72042-2618
Phone (870) 280-2621
Other providers in De Witt, AR
- Van M Dunn
- Howard Dean Watts
- Karen Watts
- West Haven Village, LLC
- West Point LLC
- Kristi Leigh Whitmore
- Mary Whitmore
- Lori Ann Wilson
- Wingfield Physical Therapy, LLC
- Jennifer Kate Wingfield
All providers in De Witt, AR · Family Nurse Practitioner in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 18, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.