Todd Christopher Anderson – Family Nurse Practitioner

Key facts

NPI: 1184047730
Entity type: Individual (NPI type 1)
Primary specialty: Family Nurse Practitioner 363LF0000X
License: A004077 (AR)
Practice address: 105 Jackson Street
Cabot, AR 72023-3058
Phone: (501) 941-3522
Fax: (501) 941-3525
NPI assigned: Jan 31, 2014
Sex: Male
Sole proprietor: Yes

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.

Arcare Federally Qualified Health Center (FQHC) · Augusta, AR · NPI 1275635542

Medicare reassignment NPD AR · MS
Arcare Federally Qualified Health Center (FQHC) · Bardwell, KY · NPI 1669765038

Medicare reassignment NPD KY
Arcare Federally Qualified Health Center (FQHC) · Jacksonville, AR · NPI 1821802729

NPD
Arcare Federally Qualified Health Center (FQHC) · Searcy, AR · NPI 1942716063

NPD
Arcare Federally Qualified Health Center (FQHC) · Brinkley, AR · NPI 1669433363

NPD (past)
Arcare Federally Qualified Health Center (FQHC) · Jonesboro, AR · NPI 1760443469

NPD (past)

Hospital & facility affiliations 1

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

Hot Springs National Park Hospital Holdings LLC General Acute Care Hospital · Hot Springs, AR · NPI 1841241833

Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty: Nurse Practitioner
Education: Other, 2013
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Group practices: Arcare (249 clinicians)

Practice addresses (Care Compare)

1310 N Ctr St
Lonoke, AR 72086-2011
Phone (501) 676-0181

1503 Main St
Des Arc, AR 72040-3299
Phone (870) 256-4176

178 Hwy 167 N
Bald Knob, AR 72010-4058
Phone (501) 724-6207

180 Medical Park PL
Hot Springs, AR 71901-8066
Phone (501) 521-1942

2450 Batesville Blvd
Southside, AR 72501-7782
Phone (870) 569-4934

304 Main St
Pangburn, AR 72121-8959
Phone (501) 728-3388

406 Rodgers Dr
Searcy, AR 72143-7433
Phone (501) 279-7979

4100 Harrison St
Batesville, AR 72501-9419
Phone (870) 793-4600

606 Wilbur D Mills N
Kensett, AR 72082-9051
Phone (501) 742-5697

623 N 9TH St
Augusta, AR 72006-2129
Phone (870) 347-2534

700 Golf Course Dr
Searcy, AR 72143-4862
Phone (501) 268-5540

705 Hwy 63 N
Hazen, AR 72064-8054
Phone (870) 255-3696

75 E Court St
Bardwell, KY 72023-8483
Phone (270) 628-3333

Hospital & facility affiliations

National Park Medical Center Hospital · Hot Springs, AR · CCN 040078

Medicare participation

Medicare fee-for-service enrollment: Enrolled (3 enrollments) in AR, KY, MS
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
I20140602001294	AR	Practitioner - Nurse Practitioner	9537382098	Reassigns benefits to 1 organization
I20190403002401	KY	Practitioner - Nurse Practitioner	9537382098	Reassigns benefits to 1 organization
I20191210001474	MS	Practitioner - Nurse Practitioner	9537382098	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Nurse Practitioner

State licenses

License	State	Type	Specialty
ATP-000613	AR	MD	Family Nurse Practitioner

Practice roles

Organization	Status	New patients
Arcare	Current since Apr 10, 2014	Accepting new patients
Arcare	Current	Accepting new patients
Arcare	Current since Apr 10, 2014	Accepting new patients
Arcare	Current since Feb 17, 2019	Accepting new patients
Arcare	Past	Accepting new patients
Arcare	Past	Accepting new patients

Locations

623 N 9th St
#40
Augusta, AR 72006

117 S 2nd St
Augusta, AR 72006

105 N Jackson St
Cabot, AR 72023
Phone (501) 843-6528

405 Highway 11 N
Des Arc, AR 72040
Phone (870) 255-3696

5510 Southwest Dr
Ste 12
Jonesboro, AR 72404
Phone (870) 641-4471

606 W Wilbur Mills Ave
Kensett, AR 72082
Phone (501) 742-5697

11219 Financial Centre Pkwy
Ste 260
Little Rock, AR 72211
Phone (501) 621-8250

908 N Edmonds Ave
McCrory, AR 72101
Phone (870) 731-1100

125 S 20th St
Paducah, KY 42001
Phone (270) 415-0467

353 Highway 15 N
Pontotoc, MS 38863
Phone (662) 489-5999

Interoperability endpoints

Direct secure messaging: todd.anderson@arcare.directbygreenway.com

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Family Nurse Practitioner	363LF0000X	ATP-000613	AR
Family Nurse Practitioner	363LF0000X	A004077	AR	Yes

Addresses

Primary practice location

105 Jackson Street
Cabot, AR 72023-3058

Mailing address

PO Box 497
Augusta, AR 72006-0497
Phone (870) 347-2534

Other practice location 1

606 W Wilbur Mills Ave
Kensett, AR 72082-9051
Phone (501) 742-5697

Other identifiers

Identifier	Type	State	Issuer
202081758	Medicaid	AR

Other providers in Cabot, AR

All providers in Cabot, 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 Mar 7, 2024. 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.

Verify at the official NPI Registry.