Active NPI
Charlena Dian Bagwell, APRN
- Family Nurse Practitioner
- Paragould, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 213430
- 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, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Norman H Buchman & Assoc PC | Current | Accepting new patients | |
| Arkansas Methodist Hospital Corporation | Family | Current | 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
- 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.
-
dba AMMC Physician Group
- Otolaryngology Physician
- Paragould, AR
- NPI 1205457405
Family
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Arkansas Methodist Medical Center
- General Acute Care Hospital
- Paragould, AR
- NPI 1437222312
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.