Individual provider Active NPI

Shannon Pogue, APRN

  • Nurse Practitioner
  • Bono, AR
National Provider Identifier
1184082273
Registry record updated Feb 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
A004641 Issued in AR
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, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160301000196 AR Practitioner - Nurse Practitioner 0244535227 Reassigns benefits to 3 organizations

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
Bradley Bibb MD PLLCGroup PAC ID 4789715285, 71 clinicians

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

LicenseStateTypeSpecialty
A004641ARMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bradley Bibb MD PLLC CurrentSince Mar 1, 2016 Accepting new patients
Pocahontas Medical Clinic PA CurrentSince Dec 11, 2016 Accepting new patients
Access Medical Clinic Arkansas LLC CurrentSince Oct 21, 2019 Accepting new patients
Pocahontas Medical Clinic PA CurrentSince Dec 11, 2016 Accepting new patients
Access Medical Clinic Arkansas LLC CurrentSince Oct 21, 2019 Accepting new patients
Bradley Bibb MD PLLC Current Accepting new patients
Bradley Bibb MD PLLC CurrentSince Mar 1, 2016 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

  • Direct secure messaging: shannon.pogue.1@15024.direct.athenahealth.com
  • Direct secure messaging: 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.

View all 16

Hospital & facility affiliations 2

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

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

Verify at the official NPI Registry.