Individual provider Active NPI

Cynthia Ann Chandler, APRN-C-FNP

  • Family Nurse Practitioner
  • Hot Springs Village, AR
National Provider Identifier
1144540683
Registry record updated Dec 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A003387 Issued in AR
Practice address
33 Mesero Way
Hot Springs Village, AR 71909-6007
Phone
(501) 412-0326
Fax
(501) 575-0229
NPI assigned
Jun 7, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 31, 2021

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 A003387 AR Primary

Addresses

Primary practice location

33 Mesero Way
Hot Springs Village, AR 71909-6007

Mailing address

PO Box 29831
Belfast, ME 04915-2050
Phone (501) 412-0326

Other identifiers 2

IdentifierTypeStateIssuer
188551758MedicaidAR
A003387OtherARSTATE NURSE PRACTITIONER LICENSE

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
I20110608000498 AR Practitioner - Nurse Practitioner 1153508767 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

203 Lillian
Benton, AR 72015-3851
Phone (501) 204-0159

33 Mesero Way
Hot Springs Village, AR 71909-6007

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Healthstar Physicians of Hot Springs, PLLC CurrentSince Jan 19, 2020 Accepting new patients
Healthstar Physicians of Hot Springs, PLLC CurrentSince Jan 19, 2020 Accepting new patients
Village Health Solutions CurrentSince Sep 1, 2020 Accepting new patients
Healthstar Physicians of Hot Springs, PLLC Current Accepting new patients

Locations

203 Lillian
Benton, AR 72015
Phone (501) 204-0159

2519 Military Rd
Ste B
Benton, AR 72015
Phone (501) 316-5010

1661 Airport Rd
Ste F
Hot Springs National Park, AR 71913
Phone (501) 651-4300

1661 Airport Rd
Ste D
Hot Springs National Park, AR 71913
Phone (501) 547-5718

1629 Airport Rd
Ste B
Hot Springs National Park, AR 71913
Phone (501) 767-0075

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24001/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1275868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640908800000",
    "number": "1144540683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 29831",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049152050",
            "telephone_number": "501-412-0326",
            "fax_number": "501-575-0229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 MESERO WAY",
            "city": "HOT SPRINGS VILLAGE",
            "state": "AR",
            "postal_code": "719096007",
            "telephone_number": "501-412-0326",
            "fax_number": "501-575-0229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANDLER",
        "first_name": "CYNTHIA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "APRN-C-FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-07",
        "last_updated": "2021-12-31",
        "certification_date": "2021-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A003387",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "188551758",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE NURSE PRACTITIONER LICENSE",
            "identifier": "A003387",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hot Springs Village, AR

Sources for this page

Verify at the official NPI Registry.