Individual provider Active NPI

Debra Charlene West, APN

  • Family Nurse Practitioner
  • De Witt, AR
National Provider Identifier
1023082575
Registry record updated Apr 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A01288ANP Issued in 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
Last updated
Apr 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 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 A01288ANP AR Primary

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

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
I20040715000142 AR Practitioner - Nurse Practitioner 3678552577 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A01288ANPARMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
West Point LLC CurrentSince Apr 19, 2024 Accepting new patients
Home Assistance LLC Current Accepting new patients
West Haven Village, LLC CurrentSince Apr 21, 2026 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
Icarepro of Texas, PA PastSince Oct 1, 2014 Accepting new patients
Dewitt Family Practice Past Accepting new patients

Locations

402 S Main St
De Witt, AR 72042
Phone (870) 280-2621

Interoperability endpoints

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

Organizations & group practices 8

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": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744934400000",
    "number": "1023082575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 S MAIN ST",
            "city": "DE WITT",
            "state": "AR",
            "postal_code": "720422618",
            "telephone_number": "870-280-2621",
            "fax_number": "870-412-4927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 S MAIN ST",
            "city": "DE WITT",
            "state": "AR",
            "postal_code": "720422618",
            "telephone_number": "870-946-0079",
            "fax_number": "870-946-0090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEST",
        "first_name": "DEBRA",
        "middle_name": "CHARLENE",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-13",
        "last_updated": "2025-04-18",
        "certification_date": "2025-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A01288ANP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in De Witt, AR

Sources for this page

Verify at the official NPI Registry.