Melanie F Golliver, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

12210409 Issued in AR

Practice address

2901 Medical Center Dr
Pocahontas, AR 72455-9438

Phone

(870) 892-4467

Fax

(870) 892-4407

NPI assigned

Dec 16, 2021

Last updated

Dec 16, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pocahontas Medical Clinic PAGroup PAC ID 4688651029, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Five Rivers Medical Center Home Health Home health agency, Pocahontas, AR, CCN 047148
• St Bernards Five Rivers Medical Center Hospital, Pocahontas, AR, CCN 040779
• St Bernards Medical Center Hospital, Jonesboro, AR, CCN 040020

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Pocahontas Medical Clinic PA

  • Family Medicine Physician
  • Pocahontas, AR
  • NPI 1508855305
  Medicare reassignment Care Compare group NPD
• Pocahontas Medical Clinic PA

  dba Pocahontas Medical Clinic - Corning

  • Family Medicine Physician
  • Corning, AR
  • NPI 1326781816
  NPD
• Pocahontas Medical Clinic PA

  • Family Medicine Physician
  • Pocahontas, AR
  • NPI 1700554177
  NPD

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

• Five Rivers Medical Center Inc

  dba Five Rivers Medical Center Home Health

  • Home Health Agency
  • Pocahontas, AR
  • NPI 1831491554
  Care Compare affiliation
• Five Rivers Medical Center Inc.

  dba St. Bernards Five Rivers Medical Center

  • General Acute Care Hospital
  • Pocahontas, AR
  • NPI 1528360989
  Care Compare affiliation
• St Bernards Hospital Inc

  dba St Bernards Medical Center

  • General Acute Care Hospital
  • Jonesboro, AR
  • NPI 1922043686
  Care Compare affiliation

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

{
    "created_epoch": "1639612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639612800000",
    "number": "1043979024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2302 ARCHER ST",
            "city": "POCAHONTAS",
            "state": "AR",
            "postal_code": "724553106",
            "telephone_number": "870-219-7520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 MEDICAL CENTER DR",
            "city": "POCAHONTAS",
            "state": "AR",
            "postal_code": "724559438",
            "telephone_number": "870-892-4467",
            "fax_number": "870-892-4407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLLIVER",
        "first_name": "MELANIE",
        "middle_name": "F",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-16",
        "last_updated": "2021-12-16",
        "certification_date": "2021-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "12210409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shonna Loerna Gamso, QBHP
• Lauren Garner, APRN
• Tracy Gholson, RN
• Stacy Elaine Gibson, MD
• Kirsten Nichole Godwin
• Breanna Gosha
• Jennifer Marie Gray, APN
• Callye Green, CCC-SLP
• Sandra A Green, APRN-CNS
• Melissa Dawn Gregory, QBHP

• Family Nurse Practitioner in Pocahontas, AR
• Providers in Pocahontas, AR by specialty
• Family Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2021; 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.

Verify at the official NPI Registry.