Active NPI
Elizabeth Ann-Grace Burns, APRN
- Nurse Practitioner
- Fayetteville, AR
National Provider Identifier
1023627577
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 124191
- Practice address
- 3344 N Futrall Dr
Fayetteville, AR 72703-4057 - Phone
- (479) 521-8200
- Fax
- (479) 582-7329
- NPI assigned
- Jul 29, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 124191 | AR | Primary |
Addresses
Primary practice location
3344 N Futrall Dr
Fayetteville, AR 72703-4057
Mailing address
PO Box 1523
Fayetteville, AR 72702-1523
Phone (479) 571-6038
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3162 W Martin Luther King Blvd
Fayetteville, AR 72704-7679
Phone (479) 935-4834
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Associates of Northwest Arkansas, PA | Current | Accepting new patients | |
| Medical Associates of Northwest Arkansas PA | Current | Accepting new patients | |
| Washington Regional Medical System | Current | Accepting new patients | |
| Washington Regional Medical System | Current | Accepting new patients | |
| Washington Regional Medical System | Current | Accepting new patients | |
| Medical Associates of Northwest Arkansas PA | Current | Accepting new patients | |
| Medical Associates of Northwest Arkansas PA | Past | Accepting new patients | |
| Medical Associates of Northwest Arkansas PA | Past | Accepting new patients | |
| Medical Associates of Northwest Arkansas PA | Past | Accepting new patients |
Locations
688 E Millsap Rd
Ste 100
Fayetteville, AR 72703
Phone (479) 463-3070
3344 N Futrall Dr
Fayetteville, AR 72703
Phone (479) 582-7213
Interoperability endpoints
- elizabeth.burns@mana.eclinicaldirectplus.com
Organizations & group practices 10
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.
-
- Federally Qualified Health Center (FQHC)
- Springdale, AR
- NPI 1821838996
-
- Family Medicine Physician
- Springdale, AR
- NPI 1326376419
-
- Diagnostic Radiology Physician
- Fayetteville, AR
- NPI 1134170160
-
- Family Medicine Physician
- Lowell, AR
- NPI 1912883273
-
- Internal Medicine Physician
- Fayetteville, AR
- NPI 1801847827
-
- Family Medicine Physician
- Farmington, AR
- NPI 1275839011
-
- Nephrology Physician
- Springdale, AR
- NPI 1578806477
-
- Podiatrist
- Fayetteville, AR
- NPI 1164140729
-
- Family Medicine Physician
- Fayetteville, AR
- NPI 1710218995
-
- Family Medicine Physician
- Springdale, AR
- NPI 1831149582
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719273600000",
"number": "1023627577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1523",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727021523",
"telephone_number": "479-571-6038",
"fax_number": "479-582-0222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3344 N FUTRALL DR",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727034057",
"telephone_number": "479-521-8200",
"fax_number": "479-582-7329"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURNS",
"first_name": "ELIZABETH",
"middle_name": "ANN-GRACE",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-29",
"last_updated": "2024-06-25",
"certification_date": "2024-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "AR",
"license": "124191",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.