Individual provider Active NPI

Michelle Leigh Bagby, DNP, FNP-C, PMHNP-BC

  • Family Nurse Practitioner
  • Pine Bluff, AR
National Provider Identifier
1043692080
Registry record updated Sep 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A004416 Issued in AR
Practice address
2906 Market St
Pine Bluff, AR 71601-6881
Phone
(870) 850-8200
Fax
(870) 850-8424
NPI assigned
Jun 26, 2015
Last updated
Sep 18, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X A004416 AR Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X A004416 AR

Addresses

Primary practice location

2906 Market St
Pine Bluff, AR 71601-6881

Mailing address

12446 Princeton Pike
Pine Bluff, AR 71602-8566
Phone (870) 209-5949

Other practice location 1

5401 JFK Blvd Ste I
North Little Rock, AR 72116-6740
Phone (501) 758-9993

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
I20150825004966 AR Practitioner - Nurse Practitioner 1153637939 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Arkansas Adult Psychotherapy Center PLLCGroup PAC ID 3173892148, 3 clinicians

Practice addresses (Care Compare)

5401 JFK
North Little Rock, AR 72116-6756

5401 JFK Blvd
Suite 1
North Little Rock, AR 72116-6756
Phone (501) 758-9993

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Arkansas Adult Psychotherapy Center, PLLC Psychiatric/Mental Health CurrentSince Feb 1, 2024 Accepting new patients
Jefferson Comprehensive Care System, Inc CurrentSince Sep 11, 2019 Accepting new patients
Icarepro of Texas, PA PastSince Jul 1, 2015 Accepting new patients

Locations

1101 S Tennessee St
Pine Bluff, AR 71601
Phone (870) 543-2300

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, 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": "1435276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789689600000",
    "number": "1043692080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12446 PRINCETON PIKE",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716028566",
            "telephone_number": "870-209-5949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2906 MARKET ST",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716016881",
            "telephone_number": "870-850-8200",
            "fax_number": "870-850-8424"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5401 JFK Blvd Ste I",
            "address_purpose": "LOCATION",
            "city": "North Little Rock",
            "state": "AR",
            "postal_code": "721166740",
            "country_code": "US",
            "telephone_number": "501-758-9993",
            "fax_number": "501-758-5321",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAGBY",
        "first_name": "MICHELLE",
        "middle_name": "LEIGH",
        "name_prefix": "Dr.",
        "credential": "DNP, FNP-C, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-26",
        "last_updated": "2026-09-18",
        "certification_date": "2026-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A004416",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AR",
            "license": "A004416",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pine Bluff, AR

Sources for this page

Verify at the official NPI Registry.