Margaret Danielle Mullins-Moats, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

A005654 Issued in AR

Practice address

3812 W Main St.
Russellville, AR 72801

Phone

(479) 968-1245

NPI assigned

May 28, 2018

Last updated

Dec 8, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Westside Family Clinic LLCGroup PAC ID 3476915372, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Trinity River Valley Home Health Home health agency, Russellville, AR, CCN 047032
• Centerwell Home Health Home health agency, Russellville, AR, CCN 047850
• St Marys Regional Medical Center Hospital, Russellville, AR, CCN 040041
• Johnson Regional Medical Center Hospital, Clarksville, AR, CCN 040002
• Baptist Health Medical Center- Conway Hospital, Conway, AR, CCN 040154

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DDAJAD
• FHIR API: https://fhir4.healow.com/fhir/r4/DDAJAD/Endpoint/DDAJAD

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.

• Westside Family Clinic LLC

  • Family Nurse Practitioner
  • Russellville, AR
  • NPI 1801587779
  Medicare reassignment Care Compare group NPD
• Monfee Medical Clinic

  • Family Medicine Physician
  • Russellville, AR
  • NPI 1154350213
  NPD

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

• Conway Community Services

  dba Baptist Health Medical Center - Conway

  • General Acute Care Hospital
  • Conway, AR
  • NPI 1285005140
  Care Compare affiliation
• Johnson Regional Medical Center

  • General Acute Care Hospital
  • Clarksville, AR
  • NPI 1134116049
  Care Compare affiliation
• Kah Development 4, LLC

  dba CenterWell Home Health

  • Home Health Agency
  • Russellville, AR
  • NPI 1912357948
  Care Compare affiliation
• Russellville Holdings LLC

  dba St . Mary's Regional Medical Center

  • General Acute Care Hospital
  • Russellville, AR
  • NPI 1033160049
  Care Compare affiliation
• Trinity River Valley Home Health, LLC

  dba Trinity River Valley Home Health

  • Home Health Agency
  • Russellville, AR
  • NPI 1972945319
  Care Compare affiliation

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

{
    "created_epoch": "1527465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670457600000",
    "number": "1114418993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3812 W MAIN ST.",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "72801",
            "telephone_number": "479-393-9303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3812 W MAIN ST.",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "72801",
            "telephone_number": "479-968-1245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLINS-MOATS",
        "first_name": "MARGARET",
        "middle_name": "DANIELLE",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-28",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A005654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shae Mortazavi, QBHP
• Alannah Mory, RECOVERY ASSISTANT
• Mountain Creek Counseling, LLC
• Melanie Mourot
• Correy Elizabeth Moyer, ST
• Lauren Murchison, APRN
• Frances Murdock, LPE
• Abigail Morgan Murphy
• David S Murphy, M.D.
• Steven Murray, MHPP

• Family Nurse Practitioner in Russellville, AR
• Providers in Russellville, 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 8, 2022; 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.