Individual provider Active NPI

Harlee A Pirtle, MSN, APRN, FNP-C

  • Nurse Practitioner
  • Bossier City, LA
National Provider Identifier
1114658291
Registry record updated Oct 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
237029 Issued in LA
Practice address
2400 Hospital Drive
Bossier City, LA 71111
Phone
(318) 212-7000
NPI assigned
Jun 21, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 220754 AR
Nurse Practitioner 363L00000X 237029 LA Primary

Addresses

Primary practice location

2400 Hospital Drive
Bossier City, LA 71111

Mailing address

353 Cash Rd SW
Camden, AR 71701-3704
Phone (870) 836-8101

Other practice location 1

353 Cash Rd SW
Camden, AR 71701-3704
Phone (870) 836-8101

Other names 1

  • Ms. Harlee Pennington Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, LA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220706000216 AR Practitioner - Nurse Practitioner 1658751813 Reassigns benefits to 3 organizations
I20241104002277 LA Practitioner - Nurse Practitioner 1658751813 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cross Lake Emergency Group, LLCGroup PAC ID 5395096440, 60 clinicians

Practice addresses (Care Compare)

2400 Hospital Dr
Bossier City, LA 71111-2385
Phone (318) 212-7000

Hospital & facility affiliations

  • Willis Knighton Medical Center Hospital, Shreveport, LA, CCN 190111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cross Lake Emergency Group, LLC Nurse Practitioner CurrentSince Oct 1, 2024 Accepting new patients
Arkansas Health Group CurrentSince Mar 27, 2023 Accepting new patients
Ess of El Dorado, LLC CurrentSince Jul 20, 2022 Accepting new patients
Arkansas Health Group CurrentSince Mar 27, 2023 Accepting new patients
HCC of El Dorado LLC CurrentSince Jul 20, 2022 Accepting new patients
Icarepro of Texas, PA Past Accepting new patients

Locations

353 Cash Rd SW
Camden, AR 71701
Phone (870) 836-8101

700 W Grove St
El Dorado, AR 71730
Phone (870) 863-2200

11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215

200 Corporate Blvd
Lafayette, LA 70508

2600 Greenwood Rd
Shreveport, LA 71103
Phone (318) 212-4600

8001 Youree Dr
Shreveport, LA 71115
Phone (318) 212-3000

2510 Bert Kouns Industrial Loop
Shreveport, LA 71118
Phone (318) 212-5000

Interoperability endpoints

  • Direct secure messaging: hpennington674767@direct.baptist-healthar.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1655769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1114658291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "353 CASH RD SW",
            "city": "CAMDEN",
            "state": "AR",
            "postal_code": "717013704",
            "telephone_number": "870-836-8101",
            "fax_number": "870-837-6876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 HOSPITAL DRIVE",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "71111",
            "telephone_number": "318-212-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "353 Cash Rd SW",
            "address_purpose": "LOCATION",
            "city": "Camden",
            "state": "AR",
            "postal_code": "717013704",
            "country_code": "US",
            "telephone_number": "870-836-8101",
            "fax_number": "870-837-6876",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PIRTLE",
        "first_name": "HARLEE",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-21",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "220754",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "237029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HARLEE",
            "last_name": "PENNINGTON",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bossier City, LA

Sources for this page

Verify at the official NPI Registry.