Individual provider Active NPI

Rachael Lynn Stauder, APRN

  • Family Nurse Practitioner
  • Hot Springs, AR
National Provider Identifier
1093548711
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
229922 Issued in AR
Practice address
115 Wrights St Ste C
Hot Springs, AR 71913-6240
Phone
(501) 321-9803
Fax
(501) 321-0710
NPI assigned
Aug 20, 2024
Last updated
Aug 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2024

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 229922 AR Primary

Addresses

Primary practice location

115 Wrights St Ste C
Hot Springs, AR 71913-6240

Mailing address

115 Wrights St Ste C
Hot Springs, AR 71913-6240
Phone (501) 321-9803

Other practice location 1

111 Skyline Dr
Russellville, AR 72801-3363
Phone (479) 498-4661

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
I20240917003873 AR Practitioner - Nurse Practitioner 8123569290 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arkansas Renal Group PAGroup PAC ID 8921274721, shared by 4 NPIs, 15 clinicians

Practice addresses (Care Compare)

115 Wrights St
Suite C
Hot Springs, AR 71913-6240
Phone (501) 624-6000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Arkansas Renal Group PA CurrentSince Sep 9, 2024 Accepting new patients
Arkansas Renal Group PA CurrentSince Sep 9, 2024 Accepting new patients

Locations

115 Wrights St
Hot Springs National Park, AR 71913
Phone (501) 321-9803

115 Wrights St
#C
Hot Springs National Park, AR 71913
Phone (501) 321-9803

111 Skyline Dr
Russellville, AR 72801
Phone (479) 498-4661

Interoperability endpoints

  • Direct secure messaging: rachaelstauder@arkneph.ssdirect.aprima.com

Organizations & group practices 2

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 8

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": "1724112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1093548711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 WRIGHTS ST STE C",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719136240",
            "telephone_number": "501-321-9803",
            "fax_number": "501-321-0710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 WRIGHTS ST STE C",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719136240",
            "telephone_number": "501-321-9803",
            "fax_number": "501-321-0710"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 Skyline Dr",
            "address_purpose": "LOCATION",
            "city": "Russellville",
            "state": "AR",
            "postal_code": "728013363",
            "country_code": "US",
            "telephone_number": "479-498-4661",
            "fax_number": "501-321-0710",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STAUDER",
        "first_name": "RACHAEL",
        "middle_name": "LYNN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-20",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "229922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hot Springs, AR

Sources for this page

Verify at the official NPI Registry.