Anita Burleson, NP
Individual provider Active NPI Nurse Practitioner · El Dorado, AR
NPI 1104363944 · NPPES record last updated Oct 7, 2020
Key facts
- NPI
- 1104363944
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 001069 (AR)
- Practice address
- 1000 N College Ave
El Dorado, AR 71730-3711 - Phone
- (870) 881-8008
- NPI assigned
- Jan 31, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1000 N College Ave
El Dorado, AR 71730-3711
Phone (870) 881-8008
Hospital & facility affiliations
- South Arkansas Home Health
- South Arkansas Regional Hospital LLC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170216000163 | AR | Practitioner - Nurse Practitioner | 5395028492 |
Reassigns benefits to 2 organizations Practice locations: El Dorado, AR |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001069 | AR | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Arkansas Emergency Physicians, LLP | Nurse Practitioner | Current |
Accepting new patients |
| South Arkansas Emergency Physicians LLP | Nurse Practitioner | Current | Accepting new patients |
| Nobulle Primary Care | Nurse Practitioner | Current |
Accepting new patients |
| South Arkansas Emergency Physicians, LLP | Nurse Practitioner | Current |
Accepting new patients |
Locations
700 W Grove St
El Dorado, AR 71730
Phone (870) 863-2200
1000 N College Ave
El Dorado, AR 71730
Phone (870) 881-8008
609 W Maple Ave
Springdale, AR 72764
Phone (479) 751-5711
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 001069 | AR | Yes |
Addresses
Primary practice location
1000 N College Ave
El Dorado, AR 71730-3711
Mailing address
1000 N College Ave
El Dorado, AR 71730-3711
Phone (870) 904-0241
Other providers in El Dorado, AR
- D'Orsay D Bryant III
- Renee J Bryant
- Christy Buhrman
- Kamea Burgie
- Patricia S Burks
- Carla Denise Burns
- Loranda Tamil Burns
- Joseph J. Burroff
- Laine Makenzie Burson
- Remel Carino Buslig
All providers in El Dorado, AR · Nurse Practitioner in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 7, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.