Mattie Keaster, APRN
Individual provider Active NPI Nurse Practitioner · Strong, AR
NPI 1023707205 · NPPES record last updated Aug 9, 2023
Key facts
- NPI
- 1023707205
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 223445 (AR)
- Practice address
- 1646 Huttig Hwy
Strong, AR 71765-9780 - Phone
- (870) 314-1314
- NPI assigned
- May 3, 2023
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Venvisor Health of Ar PA
Baptist Health
Practice addresses (Care Compare)
1202 NE McClain Rd
BLDG 7
Bentonville, AR 72712-3875
Phone (203) 901-2493
9501 Baptist Health Dr
Suite 600
Little Rock, AR 72205-6231
Phone (501) 227-7596
Hospital & facility affiliations
- South Arkansas Regional Hospital LLC
- Ouachita County Medical Center
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 |
|---|---|---|---|---|
| I20230809001317 | AR | Practitioner - Nurse Practitioner | 8022470913 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Health | Current |
Accepting new patients | |
| Venvisor Health of Ar PA | Nurse Practitioner | Current |
Accepting new patients |
| Baptist Health | Current |
Accepting new patients |
Locations
1202 NE McClain Rd
Bentonville, AR 72712
Phone (479) 278-4323
11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215
9501 Baptist Health Dr
Ste 600
Little Rock, AR 72205
Interoperability endpoints
- mkeaster696506@direct.baptist-healthar.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 223445 | AR | Yes |
Addresses
Primary practice location
1646 Huttig Hwy
Strong, AR 71765-9780
Mailing address
528 W Faulkner St
El Dorado, AR 71730-4519
Phone (870) 314-1314
Other providers in Strong, AR
- Cabun Rural Health Services, Inc
- Katrina Hatter
- Newsom Family Pharmacy LLC
- Lynn Matthews Strickland
- Stronghuttig School District
- Total Care Home Medical Equipment, LLC
- Stacey Upton
All providers in Strong, AR · 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 Aug 9, 2023. 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.