Rachel Scrimshire, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

A005379 Issued in AR

Practice address

1604 Martin Luther King Blvd
Malvern, AR 72104-2006

Phone

(501) 732-5400

Fax

(501) 325-9650

NPI assigned

Oct 25, 2017

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

Other identifiers 2

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, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Brick City Health and Wellness Clinic PLLCGroup PAC ID 9638522451, 2 clinicians

Practice addresses (Care Compare)

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.

• Brick City Health and Wellness Clinic PLLC

  • Family Nurse Practitioner
  • Malvern, AR
  • NPI 1558143701
  Medicare reassignment Care Compare group NPD Authorized official
• Healthy Connections Incorporated

  • Federally Qualified Health Center (FQHC)
  • Mena, AR
  • NPI 1588646491
  Medicare reassignment NPD
• Healthy Connections Incorporated

  • Federally Qualified Health Center (FQHC)
  • Little Rock, AR
  • NPI 1104466671
  NPD
• Healthy Connections Incorporated

  • Federally Qualified Health Center (FQHC)
  • Texarkana, AR
  • NPI 1518694538
  NPD
• Healthy Connections Inc

  • Federally Qualified Health Center (FQHC)
  • Malvern, AR
  • NPI 1003282070
  NPD (past)

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

{
    "created_epoch": "1508889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702598400000",
    "number": "1093227423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1604 MARTIN LUTHER KING BLVD",
            "city": "MALVERN",
            "state": "AR",
            "postal_code": "721042006",
            "telephone_number": "501-732-5400",
            "fax_number": "501-325-9650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1604 MARTIN LUTHER KING BLVD",
            "city": "MALVERN",
            "state": "AR",
            "postal_code": "721042006",
            "telephone_number": "501-732-5400",
            "fax_number": "501-325-9650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCRIMSHIRE",
        "first_name": "RACHEL",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-25",
        "last_updated": "2023-12-15",
        "certification_date": "2023-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A005379",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1093227423",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "225617758",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel Leann Sanders
• Trudy Scales-Fendley
• Carrie Anne Schoultz, LMT
• Heather Schultz
• Dailakeisha Scott
• Douglas M Sell, PHD
• Sera Triadic, PLLC
• Shane Higginbotham MD PA (Higginbotham Family Clinic)
• Shawn Purifoy, M.D., P.a. (Malvern Family Medical Clinic)
• Markesia Sherman

• Family Nurse Practitioner in Malvern, AR
• Providers in Malvern, 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 15, 2023; 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.