Individual provider Active NPI

Charlena Dian Bagwell, APRN

  • Family Nurse Practitioner
  • Paragould, AR
National Provider Identifier
1134895170
Registry record updated Oct 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
213430 Issued in AR
Practice address
1110 W Kingshighway
Paragould, AR 72450-4164
Phone
(870) 205-2000
Fax
(870) 205-2001
NPI assigned
Aug 19, 2021
Last updated
Oct 16, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2026

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 213430 AR Primary

Addresses

Primary practice location

1110 W Kingshighway
Paragould, AR 72450-4164

Mailing address

1110 W Kingshighway
Paragould, AR 72450-4164
Phone (870) 205-2000

Other practice location 1

1206 Gordon Duckworth Dr
Piggott, AR 72454-1911
Phone (870) 598-3881

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, MO2 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
I20210928000366 AR Practitioner - Nurse Practitioner 8628475076 Reassigns benefits to 2 organizations
I20231108000371 MO Practitioner - Nurse Practitioner 8628475076 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Norman H Buchman and Assoc PCGroup PAC ID 4880882638, 8 clinicians

Practice addresses (Care Compare)

1000 W Kingshighway
Paragould, AR 72450-4197

1108 W Liberty St
Farmington, MO 63640-1922
Phone (978) 335-8344

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Norman H Buchman & Assoc PC CurrentSince Oct 1, 2023 Accepting new patients
Arkansas Methodist Hospital Corporation Family CurrentSince Aug 23, 2021 Accepting new patients

Locations

669 Highway 139 N
Monette, AR 72447
Phone (870) 486-5419

1000 W Kingshighway
Ste 14
Paragould, AR 72450
Phone (870) 239-7103

900 W Kingshighway
Paragould, AR 72450
Phone (870) 239-7000

1108 W Liberty St
Farmington, MO 63640
Phone (573) 260-4136

1899 N Westwood Blvd
Ste C
Poplar Bluff, MO 63901
Phone (573) 772-7937

Interoperability endpoints

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1629331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792108800000",
    "number": "1134895170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 W KINGSHIGHWAY",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724504164",
            "telephone_number": "870-205-2000",
            "fax_number": "870-205-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 W KINGSHIGHWAY",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724504164",
            "telephone_number": "870-205-2000",
            "fax_number": "870-205-2001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1206 Gordon Duckworth Dr",
            "address_purpose": "LOCATION",
            "city": "Piggott",
            "state": "AR",
            "postal_code": "724541911",
            "country_code": "US",
            "telephone_number": "870-598-3881",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAGWELL",
        "first_name": "CHARLENA",
        "middle_name": "DIAN",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-19",
        "last_updated": "2026-10-16",
        "certification_date": "2026-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "213430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paragould, AR

Sources for this page

Verify at the official NPI Registry.