Individual provider Active NPI

Mandi Strode, APRN

  • Family Nurse Practitioner
  • Harrison, AR
National Provider Identifier
1134517014
Registry record updated Mar 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A004257 Issued in AR
Practice address
1002 N Spring St
Harrison, AR 72601-2918
Phone
(870) 741-6373
Fax
(870) 741-5102
NPI assigned
Dec 31, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2020

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 A004257 AR Primary

Addresses

Primary practice location

1002 N Spring St
Harrison, AR 72601-2918

Mailing address

PO Box 1060
Marshall, AR 72650-1060
Phone (870) 448-5733

Other practice location 1

609 West Clark Street
Jasper, AR 72641
Phone (870) 446-2225

Other identifiers 1

IdentifierTypeStateIssuer
206715758MedicaidAR

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20150128000618 AR Practitioner - Nurse Practitioner 4385968098 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Boston Mountain Rural Health Center, IncGroup PAC ID 3870401722, 53 clinicians

Practice addresses (Care Compare)

1002 N Spring St
Harrison, AR 72601-2918
Phone (870) 741-6373

Hospital & facility affiliations

  • Elite Home Health Home health agency, Harrison, AR, CCN 047134
  • North Arkansas Regional Medical Center Hospital, Harrison, AR, CCN 040017

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A004257ARMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
McClintock Family Medicine CurrentSince Oct 3, 2016 Accepting new patients

Locations

306 N Chestnut St
Harrison, AR 72601
Phone (870) 701-5051

Interoperability endpoints

  • Direct secure messaging: mandi.strode@bmrhc.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/CAJIAA

Organizations & group practices 2

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 3

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": "1419984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583884800000",
    "number": "1134517014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1060",
            "city": "MARSHALL",
            "state": "AR",
            "postal_code": "726501060",
            "telephone_number": "870-448-5733",
            "fax_number": "870-446-2227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 N SPRING ST",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "726012918",
            "telephone_number": "870-741-6373",
            "fax_number": "870-741-5102"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "609 WEST CLARK STREET",
            "address_purpose": "LOCATION",
            "city": "JASPER",
            "state": "AR",
            "postal_code": "72641",
            "country_code": "US",
            "telephone_number": "870-446-2225",
            "fax_number": "870-446-2227",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STRODE",
        "first_name": "MANDI",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-31",
        "last_updated": "2020-03-11",
        "certification_date": "2020-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A004257",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "206715758",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrison, AR

Sources for this page

Verify at the official NPI Registry.