Individual provider Active NPI

Angela D Suttle, APRN

  • Family Nurse Practitioner
  • Bismarck, AR
National Provider Identifier
1073058749
Registry record updated May 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A004976 Issued in AR
Practice address
6679 Highway 7
Bismarck, AR 71929-7179
Phone
(501) 865-2855
Fax
(501) 868-2868
NPI assigned
Jan 4, 2017
Last updated
May 13, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X A004976 AR Primary

Addresses

Primary practice location

6679 Highway 7
Bismarck, AR 71929-7179

Mailing address

11001 Executive Center Dr Ste 200
Little Rock, AR 72211-4393
Phone (501) 812-7215

Other practice location 1

200 E Walnut St
Gurdon, AR 71743-1256
Phone (870) 353-2800

Other names 1

  • Angela Dawn Stanich Other name

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
I20170224000253 AR Practitioner - Nurse Practitioner 5597049296 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist HealthGroup PAC ID 0648177949, shared by 41 NPIs, 106 clinicians

Practice addresses (Care Compare)

10 Montgomery Dr
Caddo Valley, AR 71923-8901
Phone (870) 245-2198

200 E Walnut
Gurdon, AR 71743-1256
Phone (870) 353-2800

200 E Walnut St
Gurdon, AR 71743-1256

3426 Central Ave
Hot Springs, AR 71913-6277
Phone (501) 431-0175

651 Heritage Dr
Sheridan, AR 72150-5000
Phone (870) 942-9833

6679 Hwy 7
Bismarck, AR 71929-7179
Phone (501) 865-2855

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Current Accepting new patients
Baptist Health CurrentSince Sep 28, 2023 Accepting new patients
Baptist Health CurrentSince Jan 14, 2017 Accepting new patients
Baptist Health Current Accepting new patients
Baptist Health CurrentSince Jan 14, 2017 Accepting new patients
Baptist Health CurrentSince Jan 18, 2017 Accepting new patients
Baptist Health CurrentSince Jan 14, 2017 Accepting new patients
Baptist Health CurrentSince Jan 14, 2017 Accepting new patients

Locations

2913 Cypress Rd
Ste 100
Arkadelphia, AR 71923
Phone (870) 246-2471

6679 Highway 7
Bismarck, AR 71929
Phone (501) 865-2855

10 Montgomery Dr
Caddo Valley, AR 71923
Phone (870) 245-2198

200 E Walnut St
Gurdon, AR 71743
Phone (870) 353-2800

11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215

1234 S Main St
Malvern, AR 72104
Phone (501) 332-5245

1484 W 1st St N
Ste 2
Prescott, AR 71857
Phone (870) 887-0155

104 W Taylor St
Sparkman, AR 71763
Phone (870) 678-2226

Interoperability endpoints

  • Direct secure messaging: astanich185325@direct.baptist-healthar.org

Organizations & group practices 9

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.

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": "1483488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620864000000",
    "number": "1073058749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11001 EXECUTIVE CENTER DR STE 200",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722114393",
            "telephone_number": "501-812-7215",
            "fax_number": "501-865-2868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6679 HIGHWAY 7",
            "city": "BISMARCK",
            "state": "AR",
            "postal_code": "719297179",
            "telephone_number": "501-865-2855",
            "fax_number": "501-868-2868"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 E Walnut St",
            "address_purpose": "LOCATION",
            "city": "Gurdon",
            "state": "AR",
            "postal_code": "717431256",
            "country_code": "US",
            "telephone_number": "870-353-2800",
            "fax_number": "870-353-2801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUTTLE",
        "first_name": "ANGELA",
        "middle_name": "D",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-04",
        "last_updated": "2021-05-13",
        "certification_date": "2021-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A004976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "STANICH",
            "middle_name": "DAWN",
            "credential": "APRN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bismarck, AR

Sources for this page

Verify at the official NPI Registry.