Individual provider Active NPI

Emily Joanna Mullinix, APRN

  • Family Nurse Practitioner
  • El Dorado, AR
National Provider Identifier
1134826571
Registry record updated Mar 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
223459 Issued in AR
Practice address
625 E Main St
El Dorado, AR 71730-6229
Phone
(870) 723-9949
NPI assigned
Feb 15, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2023

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 223459 AR Primary

Addresses

Primary practice location

625 E Main St
El Dorado, AR 71730-6229

Mailing address

506 Pathfinder
Collinsville, TX 76233-1522
Phone (877) 522-1275

Other names 1

  • Emily Joanna Nugent Former name

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
I20230311000080 AR Practitioner - Nurse Practitioner 1254704349 Reassigns benefits to 4 organizations

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
Concord Company of Arkansas PLLCGroup PAC ID 4082968623, 11 clinicians

Practice addresses (Care Compare)

700 W Grove St
El Dorado, AR 71730-4416
Phone (870) 863-2000

Hospital & facility affiliations

  • South Arkansas Regional Hospital LLC Hospital, El Dorado, AR, CCN 040088

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
223459ARMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ess of El Dorado, LLC CurrentSince Oct 1, 2023 Accepting new patients
Concord Medical Group of Texas PLLC CurrentSince Jul 19, 2024 Accepting new patients
Concord Medical Group PLLC CurrentSince Jul 19, 2024 Accepting new patients
Concord Company of Arkansas PLLC CurrentSince Jul 19, 2024 Accepting new patients
HCC of El Dorado LLC CurrentSince Oct 1, 2023 Accepting new patients

Locations

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

1801 Martin Luther King Jr Dr
Helena, AR 72342
Phone (870) 338-5800

Organizations & group practices 5

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 1

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": "1676419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679270400000",
    "number": "1134826571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 PATHFINDER",
            "city": "COLLINSVILLE",
            "state": "TX",
            "postal_code": "762331522",
            "telephone_number": "877-522-1275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 E MAIN ST",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "717306229",
            "telephone_number": "870-723-9949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLINIX",
        "first_name": "EMILY",
        "middle_name": "JOANNA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-15",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "223459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "NUGENT",
            "middle_name": "JOANNA",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in El Dorado, AR

Sources for this page

Verify at the official NPI Registry.