Individual provider Active NPI

Natalie Rodriguez, APRN

  • Nurse Practitioner
  • Benton, AR
National Provider Identifier
1033886809
Registry record updated Aug 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
217302 Issued in AR
Practice address
630 West South Street
Benton, AR 72015
Phone
(501) 860-7150
NPI assigned
Aug 27, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 217302 AR Primary

Addresses

Primary practice location

630 West South Street
Benton, AR 72015

Mailing address

PO Box 497
Augusta, AR 72006-0497
Phone (870) 347-2534

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
I20210913000651 AR Practitioner - Nurse Practitioner 5698171965 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Amayszn LLCGroup PAC ID 2163870668, 2 clinicians

Practice addresses (Care Compare)

620 W S St
Suite a
Benton, AR 72015-4235
Phone (501) 794-6123

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
217302ARMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Arcare CurrentSince Aug 2, 2021 Accepting new patients
360 Wellness Clinic LLC CurrentSince Aug 11, 2025 Accepting new patients
Arcare Current Accepting new patients
Arcare CurrentSince Aug 2, 2021 Accepting new patients
Amayszn LLC CurrentSince Aug 11, 2025 Accepting new patients
Arcare Past Accepting new patients

Locations

623 N 9th St
#40
Augusta, AR 72006

620 W South St
Ste A
Benton, AR 72015
Phone (501) 794-6123

630 W South St
Benton, AR 72015
Phone (501) 860-7150

821 E Park St
Carlisle, AR 72024
Phone (870) 552-7110

180 Medical Park Pl
Ste 102
Hot Springs National Park, AR 71901
Phone (501) 624-3400

801 N Edmonds Ave
McCrory, AR 72101
Phone (870) 731-5411

Interoperability endpoints

  • Direct secure messaging: natalie.rodriguez@arcare.directbygreenway.com

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1630022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630022400000",
    "number": "1033886809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 497",
            "city": "AUGUSTA",
            "state": "AR",
            "postal_code": "720060497",
            "telephone_number": "870-347-2534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 WEST SOUTH STREET",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "72015",
            "telephone_number": "501-860-7150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "NATALIE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-27",
        "last_updated": "2021-08-27",
        "certification_date": "2021-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AR",
            "license": "217302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Benton, AR

Sources for this page

Verify at the official NPI Registry.