NPIMap

Individual provider Active NPI

Patrick K Stage, ANP

  • Acute Care Nurse Practitioner
  • Little Rock, AR
National Provider Identifier
1124012323
Registry record updated Feb 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
A01289 Issued in AR
Practice address
7 Shackleford West Blvd
Little Rock, AR 72211-3714
Phone
(501) 664-5860
Fax
(501) 664-0889
NPI assigned
Sep 2, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X A01289 AR Primary

Addresses

Primary practice location

7 Shackleford West Blvd
Little Rock, AR 72211-3714

Mailing address

7 Shackleford West Blvd
Little Rock, AR 72211-3714
Phone (501) 664-5860

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
I20100310000277 AR Practitioner - Nurse Practitioner 1355486721 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Arkansas College of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CHI St Vincent Medical Group Hot Springs 184 clinicians
Arkansas Heart Hospital Rural Health Services, LLC 52 clinicians
Arkansas Heart Hospital LLC 85 clinicians

Practice addresses (Care Compare)

1 Mercy LN
Hot Springs, AR 71913-6440

1 Mercy LN
Suite 201
Hot Springs National Park, AR 71913-6457
Phone (501) 321-2229

200 Heartcenter LN
Hot Springs, AR 71913-6351
Phone (501) 624-6641

209 S Portland Ave
Unit 2
Russellville, AR 72801-2339
Phone (501) 664-5860

4419 N Hwy 7
Suite 200
Hot Springs Village, AR 71909-9301
Phone (501) 922-2217

4419 N Hwy 7
Suite 201
Hot Springs Village, AR 71909-9304
Phone (501) 922-2217

7 Shackleford W Blvd
Little Rock, AR 72211-3886
Phone (501) 664-5860

903 Desoto Blvd
Suite a
Hot Springs, AR 71909-6100
Phone (501) 915-0936

Hospital & facility affiliations

  • Arkansas Heart Hospital, LLC Hospital, Little Rock, AR, CCN 040134
  • CHI St. Vincent Hospital Hot Springs Hospital, Hot Springs, AR, CCN 040026
  • Arkansas Heart Hospital-Encore Hospital, Bryant, AR, CCN 040161

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A01289ARMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Arkansas Heart Hospital, LLC CurrentSince Aug 1, 2011 Accepting new patients
Arkansas Heart Hospital, LLC CurrentSince Aug 1, 2011 Accepting new patients
CHI St. Vincent Medical Group Hot Springs CurrentSince Nov 23, 2025 Accepting new patients
Arkansas Heart Hospital Rural Health Services, LLC CurrentSince Aug 1, 2011 Accepting new patients
Little Rock Cardiology Clinic, PA Past Accepting new patients
Cardiology Care of South Arkansas, Inc Past Accepting new patients
Hot Springs MRI Center Past Accepting new patients
Arkansas Heart Hospital, LLC Past Accepting new patients

Locations

1901 Encore Way
Bryant, AR 72019
Phone (501) 213-4500

704 S Timberlane Dr
Ste 12
El Dorado, AR 71730
Phone (870) 862-8700

704 S Timberlane Dr
El Dorado, AR 71730
Phone (870) 862-8700

1 Mercy Ln
Ste 301
Hot Springs, AR 71913
Phone (501) 622-6556

200 Heartcenter Ln
Hot Springs National Park, AR 71913
Phone (501) 624-6641

1 Mercy Ln
Ste 201
Hot Springs National Park, AR 71913
Phone (501) 321-2229

4419 N Highway 7
Ste 200
Hot Springs Village, AR 71909
Phone (501) 922-2217

7 Shackleford West Blvd
Little Rock, AR 72211
Phone (501) 614-3671

209 S Portland Ave
Unit 2
Russellville, AR 72801
Phone (479) 967-0690

209 S Portland Ave
Russellville, AR 72801
Phone (479) 317-7010

Organizations & group practices 11

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 9

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": "1125619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266278400000",
    "number": "1124012323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 SHACKLEFORD WEST BLVD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722113714",
            "telephone_number": "501-664-5860",
            "fax_number": "501-664-0889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 SHACKLEFORD WEST BLVD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722113714",
            "telephone_number": "501-664-5860",
            "fax_number": "501-664-0889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAGE",
        "first_name": "PATRICK",
        "middle_name": "K",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-02",
        "last_updated": "2010-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AR",
            "license": "A01289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.