Individual provider Active NPI

Manuela Debacker, APRN

  • Family Nurse Practitioner
  • Benton, AR
National Provider Identifier
1184597288
Registry record updated Apr 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
235311 Issued in AR
Practice address
630 W South St
Benton, AR 72015-4258
Phone
(501) 860-7150
Fax
(501) 860-7166
NPI assigned
Sep 25, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 235311 AR Primary
Registered Nurse 163W00000X R101963 AR

Addresses

Primary practice location

630 W South St
Benton, AR 72015-4258

Mailing address

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

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
I20251203004417 AR Practitioner - Nurse Practitioner 5698268084 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
ArcareGroup PAC ID 2567370620, 249 clinicians

Practice addresses (Care Compare)

180 Medical Park PL
Suite 102
Hot Springs, AR 71901-8066
Phone (501) 521-1942

401 E St
Arcare 51
Texarkana, AR 71854-6507
Phone (870) 216-0829

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

630 W S St
Benton, AR 72015-4258
Phone (870) 347-2534

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R101963ARMDRegistered Nurse
235311ARMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Arcare CurrentSince Nov 17, 2025 Accepting new patients
Arcare CurrentSince Nov 17, 2025 Accepting new patients
Arcare Current Accepting new patients
Arcare Past Accepting new patients

Locations

623 N 9th St
#40
Augusta, AR 72006

630 W South St
Benton, AR 72015
Phone (501) 860-7150

815 School Dr
Bryant, AR 72022
Phone (501) 361-9822

180 Medical Park Pl
Ste 102
Hot Springs National Park, AR 71901
Phone (501) 624-3400

401 East St
Texarkana, AR 71854
Phone (870) 216-0829

1600 W Holland Ave
Ste 202
White Hall, AR 71602
Phone (870) 850-8055

Interoperability endpoints

  • Direct secure messaging: manuela.debacker@arcare.directbygreenway.com

Organizations & group practices 4

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": "1758758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776816000000",
    "number": "1184597288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 497",
            "city": "AUGUSTA",
            "state": "AR",
            "postal_code": "720060497",
            "telephone_number": "870-347-2534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 W SOUTH ST",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720154258",
            "telephone_number": "501-860-7150",
            "fax_number": "501-860-7166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEBACKER",
        "first_name": "MANUELA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-09-25",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "235311",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AR",
            "license": "R101963",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Benton, AR

Sources for this page

Verify at the official NPI Registry.