Individual provider Active NPI

Patricia Acklin, APRN

  • Family Nurse Practitioner
  • Mountain Home, AR
National Provider Identifier
1184293383
Registry record updated Jun 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
216225 Issued in AR
Practice address
228 Bucher Dr
Mountain Home, AR 72653-3400
Phone
(870) 425-4416
NPI assigned
Jun 22, 2021
Last updated
Jun 22, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 216225 AR Primary

Addresses

Primary practice location

228 Bucher Dr
Mountain Home, AR 72653-3400

Mailing address

658 County Road 307B
Gainesville, MO 65655-7528
Phone (417) 989-0505

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Cerner

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
I20211209000680 AR Practitioner - Nurse Practitioner 8123418951 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

228 Bucher Dr
Mountain Home, AR 72653-3400
Phone (870) 425-4416

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Baxter County Regional Hospital Inc Family Current Accepting new patients
Baxter County Regional Hospital, Inc CurrentSince Nov 1, 2021 Accepting new patients
Baxter County Regional Hospital Inc CurrentSince Nov 1, 2021 Accepting new patients
Baxter County Regional Hospital Inc Past Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

228 Bucher Dr
Mountain Home, AR 72653
Phone (870) 425-4416

624 Hospital Dr
Mountain Home, AR 72653
Phone (870) 424-1000

Interoperability endpoints

  • Direct secure messaging: patricia.acklin@bhcawp.eclinicaldirectplus.com

Organizations & group practices 5

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.

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": "1624320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624320000000",
    "number": "1184293383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "658 COUNTY ROAD 307B",
            "city": "GAINESVILLE",
            "state": "MO",
            "postal_code": "656557528",
            "telephone_number": "417-989-0505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 BUCHER DR",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726533400",
            "telephone_number": "870-425-4416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACKLIN",
        "first_name": "PATRICIA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-22",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "216225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Cerner",
            "affiliation": "N",
            "address_1": "228 Bucher Dr",
            "city": "Mountain Home",
            "state": "AR",
            "country_code": "US",
            "postal_code": "726533400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mountain Home, AR

Sources for this page

Verify at the official NPI Registry.