NPIMap

Individual provider Active NPI

Alyssa Haulcroft, APRN

  • Family Nurse Practitioner
  • Newport, AR
National Provider Identifier
1104696186
Registry record updated Jun 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
226525 Issued in AR
Practice address
1200 McLain St Ste B
Newport, AR 72112-3550
Phone
(870) 532-2320
Fax
(870) 532-8891
NPI assigned
Jan 2, 2024
Last updated
Jun 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2026

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 226525 AR Primary

Addresses

Primary practice location

1200 McLain St Ste B
Newport, AR 72112-3550

Mailing address

1200 McLain St Ste B
Newport, AR 72112-3550
Phone (870) 523-2320

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240209001130 AR Practitioner - Nurse Practitioner 1254774938 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment
Group practices
White County Medical CenterGroup PAC ID 4880688654, 182 clinicians

Practice addresses (Care Compare)

106 N Van Buren St
Weiner, AR 72479-9289
Phone (870) 605-0014

11005 Heber Springs Rd N
Concord, AR 72523-9561
Phone (844) 291-4901

1200 McLain St
Newport, AR 72112-3550

2725 Hwy 25B
Heber Springs, AR 72543-6306
Phone (501) 362-5800

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
226525ARMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Access Medical Clinic Arkansas LTC LLC CurrentSince Feb 9, 2025 Accepting new patients
Medicine Check PC CurrentSince Dec 11, 2023 Accepting new patients
Access Medical Clinic Arkansas LTC LLC CurrentSince Feb 9, 2025 Accepting new patients

Locations

203 Lillian
Benton, AR 72015
Phone (501) 204-0159

4196 Highway 62 412
#A
Hardy, AR 72542
Phone (870) 856-2100

106 N Van Buren St
Weiner, AR 72479
Phone (870) 605-0014

277 Route 70
Unit 231
Toms River, NJ 08755

Interoperability endpoints

  • Direct secure messaging: alyssa.haulcroft.1@29938.direct.athenahealth.com

Organizations & group practices 4

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 20

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

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1704153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780963200000",
    "number": "1104696186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 MCLAIN ST STE B",
            "city": "NEWPORT",
            "state": "AR",
            "postal_code": "721123550",
            "telephone_number": "870-523-2320",
            "fax_number": "870-523-2291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 MCLAIN ST STE B",
            "city": "NEWPORT",
            "state": "AR",
            "postal_code": "721123550",
            "telephone_number": "870-532-2320",
            "fax_number": "870-532-8891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAULCROFT",
        "first_name": "ALYSSA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-02",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "226525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport, AR

Sources for this page

Verify at the official NPI Registry.