Angela D Foster, APN
Individual provider Active NPI Family Nurse Practitioner · Mayflower, AR
NPI 1174847313 · NPPES record last updated Dec 2, 2013
Key facts
- NPI
- 1174847313
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- A03345 APN (AR)
- Practice address
- 587 Highway 365
Mayflower, AR 72106-9570 - Phone
- (501) 470-7413
- Fax
- (501) 470-7415
- NPI assigned
- Mar 17, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 8
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Conway Regional Medical Center Inc
Practice addresses (Care Compare)
606 Hwy 365
Mayflower, AR 72106-9595
Hospital & facility affiliations
- Elite Home Health
- Conway Regional Homecare SVCS
- Conway Regional Medical Center, Inc
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110216000793 | AR | Practitioner - Nurse Practitioner | 7911188438 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A03345 APN | AR | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Conway Regional Medical Center, Inc | Current |
Accepting new patients | |
| Conway Regional Medical Center Inc | Current |
Accepting new patients | |
| Conway Regional Medical Center Inc | Current | Accepting new patients | |
| Mayflower Family Medicine | Past | Accepting new patients | |
| Conway Regional Medical Center Inc | Past | Accepting new patients |
Locations
437 Denison St
Ste 2
Conway, AR 72034
Phone (501) 504-2330
437 Denison St
Conway, AR 72034
Phone (501) 327-1325
606 Highway 365
Mayflower, AR 72106
Phone (501) 358-6905
587 Highway 365
Mayflower, AR 72106
Phone (501) 470-7413
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | A03345 APN | AR | Yes |
Addresses
Primary practice location
587 Highway 365
Mayflower, AR 72106-9570
Mailing address
587 Highway 365
PO Box 925
Mayflower, AR 72106-9570
Phone (501) 470-7413
Other providers in Mayflower, AR
- Emma Elliott
- Jami Lynn Faulkner
- Harley Ferguson
- Hailey J. Fogleman
- Forty Winks Anesthesia, PA
- Carrington Franklin
- Blair Greenwood
- H&H Therapy LLC
- Alison Hambuchen
- Justin Harrell
All providers in Mayflower, AR · Family Nurse Practitioner in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 2, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.