Active NPI
Shannon Pogue, APRN
- Nurse Practitioner
- Bono, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- A004641
- Practice address
- 10144 Highway 63 N Ste a
Bono, AR 72416-7676 - Phone
- (870) 520-6069
- Fax
- (870) 994-7488
- NPI assigned
- Feb 3, 2016
- Last updated
- Feb 3, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | A004641 | AR | Primary |
Addresses
Primary practice location
10144 Highway 63 N Ste a
Bono, AR 72416-7676
Mailing address
49 Highway 62 412
Ash Flat, AR 72513-9594
Phone (870) 994-7301
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10040 Hwy 63 N
Suite 3
Bono, AR 72416-8669
Phone (870) 520-6069
1176 State Hwy 22 W B
AMC Dardanelle
Dardanelle, AR 72834-3006
Phone (479) 229-3004
3519 Hwy 63
Black Rock, AR 72415-9022
Phone (870) 878-4005
3809 E 9TH St
Suite 15
Texarkana, AR 71854-5818
Phone (870) 621-0080
4196 Hwy 62 412
Suite a
Hardy, AR 72542-8002
Phone (870) 994-7301
49 Hwy 62 412
Ash Flat, AR 72513-9594
Phone (870) 994-7301
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A004641 | AR | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bradley Bibb MD PLLC | Current | Accepting new patients | |
| Pocahontas Medical Clinic PA | Current | Accepting new patients | |
| Access Medical Clinic Arkansas LLC | Current | Accepting new patients | |
| Pocahontas Medical Clinic PA | Current | Accepting new patients | |
| Access Medical Clinic Arkansas LLC | Current | Accepting new patients | |
| Bradley Bibb MD PLLC | Current | Accepting new patients | |
| Bradley Bibb MD PLLC | Current | Accepting new patients | |
| Access Medical Clinic Arkansas LLC | Past | Accepting new patients | |
| Access Medical Clinic Arkansas LLC | Past | Accepting new patients | |
| Access Medical Clinic Arkansas LLC | Past | Accepting new patients | |
| Access Medical Clinic Arkansas, LLC | Past | Accepting new patients | |
| Access Medical Clinic Arkansas LLC | Past | Accepting new patients | |
| Access Medical Clinic Arkansas LLC | Past | Accepting new patients | |
| Ozarks Medical Center | Past | Accepting new patients | |
| Access Medical Clinic Arkansas, LLC | Past | Accepting new patients |
Locations
49 Highway 62 412
Ash Flat, AR 72513
Phone (573) 718-2570
3519 Highway 63
Black Rock, AR 72415
Phone (870) 878-4005
10144 Highway 63 N
#A
Bono, AR 72416
Phone (870) 520-6069
16723 Highway 62
Garfield, AR 72732
Phone (870) 219-7706
1601 Market Dr
Pocahontas, AR 72455
Phone (870) 892-4467
2901 Medical Center Dr
Pocahontas, AR 72455
Phone (870) 892-4467
3809 E 9th St
Ste 15
Texarkana, AR 71854
Phone (870) 621-0080
Interoperability endpoints
- shannon.pogue.1@15024.direct.athenahealth.com
- shannon.pogue.1@2424.direct.athenahealth.com
Organizations & group practices 16
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.
-
- Rural Health Clinic/Center
- Ash Flat, AR
- NPI 1699097436
-
- Family Medicine Physician
- Pocahontas, AR
- NPI 1508855305
-
- Rural Health Clinic/Center
- Salem, AR
- NPI 1578007647
-
- Rural Health Clinic/Center
- Camden, AR
- NPI 1508563362
-
- Rural Health Clinic/Center
- Hope, AR
- NPI 1609370519
-
- Podiatrist
- Ash Flat, AR
- NPI 1770067589
-
dba Pocahontas Medical Clinic - Corning
- Family Medicine Physician
- Corning, AR
- NPI 1326781816
-
- Rural Health Clinic/Center
- Chickasha, OK
- NPI 1013724764
-
- Rural Health Clinic/Center
- Cedarville, AR
- NPI 1164913984
-
- Rural Health Clinic/Center
- Osceola, AR
- NPI 1184401325
-
- Rural Health Clinic/Center
- Blytheville, AR
- NPI 1245017870
-
- Rural Health Clinic/Center
- Heber Springs, AR
- NPI 1407375595
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba NEA Baptist Memorial Hospital
- General Acute Care Hospital
- Jonesboro, AR
- NPI 1386699353
-
dba St Bernards Medical Center
- General Acute Care Hospital
- Jonesboro, AR
- NPI 1922043686
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1454457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1454457600000",
"number": "1184082273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "49 HIGHWAY 62 412",
"city": "ASH FLAT",
"state": "AR",
"postal_code": "725139594",
"telephone_number": "870-994-7301",
"fax_number": "870-994-7488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10144 HIGHWAY 63 N STE A",
"city": "BONO",
"state": "AR",
"postal_code": "724167676",
"telephone_number": "870-520-6069",
"fax_number": "870-994-7488"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POGUE",
"first_name": "SHANNON",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-02-03",
"last_updated": "2016-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "AR",
"license": "A004641",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bono, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2016; 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.