Angela Gail Dodd, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

A03662 Issued in AR

Practice address

199 School Dr
Shirley, AR 72153-7566

Phone

(844) 722-6742

Fax

(888) 440-7568

NPI assigned

Mar 19, 2012

Last updated

Apr 10, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Nurse Practitioner

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Boston Mountain Rural Health Center, IncGroup PAC ID 3870401722, 53 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ozark Health Hospital, Clinton, AR, CCN 041313
• Conway Regional Medical Center, Inc Hospital, Conway, AR, CCN 040029

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Boston Mountain Rural Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Marshall, AR
  • NPI 1720096027
  Medicare reassignment Care Compare group NPD
• Boston Mountain Rural Health Center, Inc

  dba Boston Mountain Rural Health Center Huntsville School Based Health Center

  • Federally Qualified Health Center (FQHC)
  • Huntsville, AR
  • NPI 1972313237
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Conway Regional Medical Center Inc

  dba Conway Regional Medical Clinic-Vilonia

  • Rural Health Clinic/Center
  • Vilonia, AR
  • NPI 1063798858

  Hospital

  Care Compare affiliation
• Conway Regional Medical Center Inc

  • General Acute Care Hospital
  • Conway, AR
  • NPI 1497770424
  Care Compare affiliation
• Conway Regional Medical Center Inc

  • Clinical Medical Laboratory
  • Conway, AR
  • NPI 1609123017

  Hospital

  Care Compare affiliation
• Conway Regional Medical Center, Inc

  dba Conway Regional Medical Clinic-Russellville

  • Family Medicine Physician
  • Russellville, AR
  • NPI 1245729359

  Hospital

  Care Compare affiliation
• Conway Regional Medical Center, Inc

  dba Conway Regional Counseling Center

  • Psychiatry Physician
  • Conway, AR
  • NPI 1730402249

  Hospital

  Care Compare affiliation
• Conway Regional Medical Center, Inc.

  dba Mayflower Medical Clinic

  • Rural Health Clinic/Center
  • Mayflower, AR
  • NPI 1851389605

  Hospital

  Care Compare affiliation
• Ozark Health, Inc

  dba Ozark Health Medical Center

  • Critical Access Hospital
  • Clinton, AR
  • NPI 1992760342
  Care Compare affiliation

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

{
    "created_epoch": "1332115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744243200000",
    "number": "1144595570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1060",
            "city": "MARSHALL",
            "state": "AR",
            "postal_code": "726501060",
            "telephone_number": "870-448-5101",
            "fax_number": "870-448-3767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 SCHOOL DR",
            "city": "SHIRLEY",
            "state": "AR",
            "postal_code": "721537566",
            "telephone_number": "844-722-6742",
            "fax_number": "888-440-7568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DODD",
        "first_name": "ANGELA",
        "middle_name": "GAIL",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-19",
        "last_updated": "2025-04-10",
        "certification_date": "2024-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A03662",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "192317758",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Boston Mountain Rural Health Center, Inc (Bmrhc Shirley Wellness Center)
• Rebecca Burgess
• Mark A, Davis, DDS
• Sheila G Gardner
• Grant Harper, PT
• Lakeside Dental LLC
• Ozark Health, Inc (Ozark Medical Clinic - Shirley)
• Chelsea Pencarinha, ST

• Family Nurse Practitioner in Shirley, AR
• Providers in Shirley, AR by specialty
• Family Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2025; 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.

Verify at the official NPI Registry.