Individual provider Active NPI

Shaela Collier, APRN

  • Family Nurse Practitioner
  • Rogers, AR
National Provider Identifier
1164917852
Registry record updated May 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A005706 Issued in AR
Practice address
1104 N 2ND St
Rogers, AR 72756-2834
Phone
(479) 337-4672
NPI assigned
Jun 26, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2022

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 A005706 AR Primary

Addresses

Primary practice location

1104 N 2ND St
Rogers, AR 72756-2834

Mailing address

1826 County Road 518
Berryville, AR 72616-7918
Phone (870) 754-8216

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
I20180906002055 AR Practitioner - Nurse Practitioner 6709136054 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sana Wound Care LLCGroup PAC ID 1254872161, 5 clinicians

Practice addresses (Care Compare)

27 W Township St
Fayetteville, AR 72703-2821
Phone (479) 480-6677

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Washington Regional Medical System CurrentSince Jul 16, 2018 Accepting new patients
True Self Recovery LLC CurrentSince May 22, 2022 Accepting new patients
Sana Wound Care LLC CurrentSince May 2, 2025 Accepting new patients
John House Properties, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Washington Regional Medical System CurrentSince Jul 16, 2018 Accepting new patients

Locations

146 Passion Play Rd
Ste A
Eureka Springs, AR 72632
Phone (479) 253-2463

105 Passion Play Rd
Ste C
Eureka Springs, AR 72632
Phone (479) 253-5728

22 W Colt Square Dr
Fayetteville, AR 72703
Phone (479) 480-6677

27 W Township St
Fayetteville, AR 72703
Phone (479) 480-6677

1104 N 2nd St
Rogers, AR 72756
Phone (479) 335-5999

Organizations & group practices 6

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": "1529971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652745600000",
    "number": "1164917852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1826 COUNTY ROAD 518",
            "city": "BERRYVILLE",
            "state": "AR",
            "postal_code": "726167918",
            "telephone_number": "870-754-8216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 N 2ND ST",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727562834",
            "telephone_number": "479-337-4672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLIER",
        "first_name": "SHAELA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-26",
        "last_updated": "2022-05-17",
        "certification_date": "2022-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A005706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rogers, AR

Sources for this page

Verify at the official NPI Registry.