Individual provider Active NPI

McKenzie Lauren Cotton, APRN, FNP-C

  • Family Nurse Practitioner
  • Conway, AR
National Provider Identifier
1023617594
Registry record updated Oct 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
126199 Issued in AR
Practice address
1065 Skyline Dr
Conway, AR 72032-3530
Phone
(501) 499-6222
NPI assigned
Oct 25, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2020

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 126199 AR Primary

Addresses

Primary practice location

1065 Skyline Dr
Conway, AR 72032-3530

Mailing address

1665 Mulberry Grove LN
Conway, AR 72032-4532
Phone (501) 339-0133

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
I20201218000540 AR Practitioner - Nurse Practitioner 4981016706 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
126199ARMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Arkansas Health Group CurrentSince Dec 15, 2021 Accepting new patients
Arkansas Health Group CurrentSince Dec 15, 2021 Accepting new patients
Arkansas Health Group CurrentSince Jul 15, 2025 Accepting new patients
Arkansas Health Group Past Accepting new patients

Locations

625 United Dr
Ste 410
Conway, AR 72032
Phone (501) 358-6892

625 United Dr
Ste 120A
Conway, AR 72032
Phone (501) 358-6720

605 United Dr
Conway, AR 72032
Phone (501) 358-6720

11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215

Interoperability endpoints

  • Direct secure messaging: mcotton561885@direct.baptist-healthar.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1603584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603584000000",
    "number": "1023617594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1665 MULBERRY GROVE LN",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720324532",
            "telephone_number": "501-339-0133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1065 SKYLINE DR",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720323530",
            "telephone_number": "501-499-6222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COTTON",
        "first_name": "MCKENZIE",
        "middle_name": "LAUREN",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-25",
        "last_updated": "2020-10-25",
        "certification_date": "2020-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "126199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conway, AR

Sources for this page

Verify at the official NPI Registry.