Active NPI
Steven Lee McDonald, APRN
- Nurse Practitioner
- Booneville, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- A003209
- Practice address
- 880 W Main St
Booneville, AR 72927-3420 - Phone
- (479) 675-2455
- Fax
- (479) 675-4940
- NPI assigned
- Mar 20, 2009
- Last updated
- Dec 15, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | A003209 | AR | Primary |
| Family Nurse Practitioner | 363LF0000X | A03209 ANP | AR |
Addresses
Primary practice location
880 W Main St
Booneville, AR 72927-3420
Mailing address
880 W Main St
Booneville, AR 72927-3420
Phone (479) 675-2455
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, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1001 Towson Ave
Fort Smith, AR 72901-4921
Phone (479) 441-4000
1902 Fayetteville Rd
Van Buren, AR 72956-6509
Phone (479) 208-5047
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A03209 ANP | AR | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeastern Emergency Physicians LLC | Nurse Practitioner | Current | Accepting new patients |
| Baptist Medcare, Inc | Current | Accepting new patients | |
| Cisterna Emergency Physicians LLC | Past | Accepting new patients | |
| Baptist Health Regional Hospitals | Past | Accepting new patients |
Locations
3050 Twin Rivers Dr
Arkadelphia, AR 71923
Phone (501) 202-2300
1001 Towson Ave
Fort Smith, AR 72901
Phone (479) 441-3980
4800 E Johnson Ave
Jonesboro, AR 72405
Phone (870) 732-2100
11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215
211 Crawford Memorial Dr
Van Buren, AR 72956
Phone (479) 471-4300
Interoperability endpoints
- smcdonald473787@directb.mercy.net
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.
-
- Emergency Medicine Physician
- Maysville, KY
- NPI 1356379382
AR, Nurse Practitioner
-
- Rural Health Clinic/Center
- Searcy, AR
- NPI 1992041370
-
dba Little Rock Emergency Doctors Group
- Emergency Medicine Physician
- Little Rock, AR
- NPI 1699868323
-
dba Baptist Health - Fort Smith
- General Acute Care Hospital
- Fort Smith, AR
- NPI 1710463146
-
- Emergency Medicine Physician
- Fort Smith, AR
- NPI 1306178371
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Baptist Health - Fort Smith
- General Acute Care Hospital
- Fort Smith, AR
- NPI 1710463146
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671062400000",
"number": "1184865164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "880 W MAIN ST",
"city": "BOONEVILLE",
"state": "AR",
"postal_code": "729273420",
"telephone_number": "479-675-2455",
"fax_number": "479-675-4940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "880 W MAIN ST",
"city": "BOONEVILLE",
"state": "AR",
"postal_code": "729273420",
"telephone_number": "479-675-2455",
"fax_number": "479-675-4940"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDONALD",
"first_name": "STEVEN",
"middle_name": "LEE",
"name_prefix": "Mr.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-03-20",
"last_updated": "2022-12-15",
"certification_date": "2022-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "AR",
"license": "A003209",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AR",
"license": "A03209 ANP",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Booneville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2022; 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.