Individual provider Active NPI

Rhonda Renee Pauls, APN, NP-C, MS

  • Family Nurse Practitioner
  • Rogers, AR
National Provider Identifier
1144519570
Registry record updated Oct 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A003559 Issued in AR
Practice address
102 Russell Rd
Rogers, AR 72756-9319
Phone
(479) 278-7189
Fax
(479) 278-2199
NPI assigned
Apr 6, 2011
Last updated
Oct 16, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 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 A003559 AR Primary

Addresses

Primary practice location

102 Russell Rd
Rogers, AR 72756-9319

Mailing address

102 Russell Rd
Rogers, AR 72756-9319
Phone (479) 278-7189

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address RPAULS@OCHHOSPITAL.HIN.US

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
I20111014000455 AR Practitioner - Nurse Practitioner 9739351842 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
A003559ARMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Northwest Arkansas Communities Current Accepting new patients
Mercy Health Northwest Arkansas Communities CurrentSince Jan 14, 2019 Accepting new patients
Mercy Health Northwest Arkansas Communities CurrentSince Jan 14, 2019 Accepting new patients

Locations

3101 SE 14th St
Bentonville, AR 72712
Phone (479) 631-2100

1101 Jackson St SW
Gravette, AR 72736
Phone (479) 787-5221

1002 S 52nd St
Rogers, AR 72758
Phone (479) 338-3722

Interoperability endpoints

  • Direct secure messaging: rpauls@ochhospital.hin.us

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1302048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697414400000",
    "number": "1144519570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 RUSSELL RD",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727569319",
            "telephone_number": "479-278-7189",
            "fax_number": "479-278-2199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 RUSSELL RD",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727569319",
            "telephone_number": "479-278-7189",
            "fax_number": "479-278-2199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAULS",
        "first_name": "RHONDA",
        "middle_name": "RENEE",
        "credential": "APN, NP-C, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-06",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A003559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "RPAULS@OCHHOSPITAL.HIN.US",
            "affiliation": "N",
            "address_1": "102 Russell Rd",
            "city": "Rogers",
            "state": "AR",
            "country_code": "US",
            "postal_code": "727569319",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rogers, AR

Sources for this page

Verify at the official NPI Registry.