Individual provider Active NPI

Brittney Pember, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Fayetteville, AR
National Provider Identifier
1194277947
Registry record updated Sep 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
2022002530 Issued in AR
Practice address
3162 W Martin Luther King Jr Blvd Ste &143162
Fayetteville, AR 72704-7679
Phone
(855) 438-2280
NPI assigned
Oct 27, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 211684 TN
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2022002530 AR Primary

Addresses

Primary practice location

3162 W Martin Luther King Jr Blvd Ste &143162
Fayetteville, AR 72704-7679

Mailing address

275 Cumberland BND
Nashville, TN 37228-1805
Phone (615) 726-3340

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
I20230906000581 AR Practitioner - Nurse Practitioner 0749643906 Reassigns benefits to 2 organizations

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
St. Francis House Nwa, Inc.Group PAC ID 0042262495, shared by 27 NPIs, 67 clinicians

Practice addresses (Care Compare)

1233 W Poplar St
Community Clinic Rogers Medical
Rogers, AR 72756-4245
Phone (479) 636-9235

3162 W Martin Luther King Blvd
Fayetteville, AR 72704-7679
Phone (479) 935-4834

375 N Rupple Rd
Fayetteville, AR 72704-6110
Phone (479) 718-0290

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
211684TNMDRegistered Nurse
2022002530ARMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St Francis House Nwa, Inc CurrentSince Sep 1, 2023 Accepting new patients
St Francis House Nwa, Inc CurrentSince Sep 1, 2023 Accepting new patients
St Francis House Nwa, Inc Current Accepting new patients
St Francis House Nwa, Inc CurrentSince Feb 10, 2025 Accepting new patients
St. Francis House Nwa, Inc. Past Accepting new patients
St. Francis House Nwa, Inc. Past Accepting new patients

Locations

3162 W Martin Luther King Jr Blvd
Ste 13
Fayetteville, AR 72704
Phone (479) 935-4834

451 S Holly St
Siloam Springs, AR 72761
Phone (479) 524-3141

614 E Emma Ave
Ste 300
Springdale, AR 72764
Phone (479) 751-4898

Organizations & group practices 6

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": "1477526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694995200000",
    "number": "1194277947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 CUMBERLAND BND",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372281805",
            "telephone_number": "615-726-3340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3162 W MARTIN LUTHER KING JR BLVD STE &143162",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727047679",
            "telephone_number": "855-438-2280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEMBER",
        "first_name": "BRITTNEY",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-27",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "211684",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AR",
            "license": "2022002530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, AR

Sources for this page

Verify at the official NPI Registry.