Individual provider Active NPI

Lorie Lynn Elsea, APN

  • Neonatal Nurse Practitioner
  • Springdale, AR
National Provider Identifier
1174877369
Registry record updated Apr 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal Nurse PractitionerTaxonomy code 363LN0000X
License
ATP-000494 Issued in AR
Practice address
4301 Greathouse Springs Rd
Springdale, AR 72762-8701
Phone
(479) 684-3132
Fax
(479) 684-3098
NPI assigned
Nov 9, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal Nurse Practitioner 363LN0000X ATP-000494 AR Primary

Addresses

Primary practice location

4301 Greathouse Springs Rd
Springdale, AR 72762-8701

Mailing address

4301 Greathouse Springs Rd
Springdale, AR 72762-8701
Phone (479) 684-3132

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
I20130307000471 AR Practitioner - Nurse Practitioner 7113172610 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ATP-000494ARMDNeonatal Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Springdale- Bentonville HBP Services, LLC Neonatal CurrentSince Jan 20, 2024 Accepting new patients

Locations

3000 Medical Center Pkwy
Bentonville, AR 72712
Phone (479) 553-2524

603 N Progress Ave
Siloam Springs, AR 72761
Phone (479) 215-3000

4301 Willow Creek Dr
Springdale, AR 72762
Phone (479) 684-3104

Organizations & group practices 1

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": "1352419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365465600000",
    "number": "1174877369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 GREATHOUSE SPRINGS RD",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727628701",
            "telephone_number": "479-684-3132",
            "fax_number": "479-684-3098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 GREATHOUSE SPRINGS RD",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727628701",
            "telephone_number": "479-684-3132",
            "fax_number": "479-684-3098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELSEA",
        "first_name": "LORIE",
        "middle_name": "LYNN",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-09",
        "last_updated": "2013-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LN0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal",
            "state": "AR",
            "license": "ATP-000494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springdale, AR

Sources for this page

Verify at the official NPI Registry.