Individual provider Active NPI

Allison Joanne Roberts, APN

  • Family Nurse Practitioner
  • Hot Springs National Park, AR
National Provider Identifier
1225309883
Registry record updated Aug 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A03565ANP Issued in AR
Practice address
3633 Central Ave Ste N
Hot Springs National Park, AR 71913-6475
Phone
(501) 623-6100
Fax
(501) 623-6187
NPI assigned
Jan 13, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2025

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 A03565ANP AR Primary

Addresses

Primary practice location

3633 Central Ave Ste N
Hot Springs National Park, AR 71913-6475

Mailing address

3633 Central Ave Ste N
Hot Springs, AR 71913-6475
Phone (501) 623-6100

Other identifiers 2

IdentifierTypeStateIssuer
199115758MedicaidAR
A003565OtherARSTATE LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL thedermatologyclinicofarkansas.ema.md Health Information Exchange (HIE) The Dermatology Clinic PA

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
I20120402000418 AR Practitioner - Nurse Practitioner 6406016260 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Dermatology Clinic PAGroup PAC ID 4789663345, 9 clinicians

Practice addresses (Care Compare)

3633 Central Ave
Suite N
Hot Springs, AR 71913-6475
Phone (501) 623-6100

Merit-based Incentive Payment System (MIPS)

Final score
91.16 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
70.55

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A03565ANPARMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Dermatology Clinic PA CurrentSince May 1, 2021 Accepting new patients
The Dermatology Clinic PA CurrentSince May 1, 2021 Accepting new patients

Locations

610 W Commerce Dr
Ste 3
Bryant, AR 72022

1014 W Collin Raye Dr
De Queen, AR 71832
Phone (580) 286-2947

1710 Malvern Ave
Hot Springs, AR 71901
Phone (501) 623-6100

3633 Central Ave
Ste N
Hot Springs National Park, AR 71913
Phone (501) 623-6100

119 Medical Cir
Ste 1
Nashville, AR 71852
Phone (870) 845-6050

Organizations & group practices 2

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": "1326412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755648000000",
    "number": "1225309883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3633 CENTRAL AVE STE N",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719136475",
            "telephone_number": "501-623-6100",
            "fax_number": "501-623-3403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3633 CENTRAL AVE STE N",
            "city": "HOT SPRINGS NATIONAL PARK",
            "state": "AR",
            "postal_code": "719136475",
            "telephone_number": "501-623-6100",
            "fax_number": "501-623-6187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "ALLISON",
        "middle_name": "JOANNE",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-13",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A03565ANP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "199115758",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "A003565",
            "state": "AR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "thedermatologyclinicofarkansas.ema.md",
            "affiliation": "Y",
            "affiliationName": "The Dermatology Clinic PA",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "3633 Central Ave Ste N",
            "city": "Hot Springs National Park",
            "state": "AR",
            "country_code": "US",
            "postal_code": "719136475",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hot Springs National Park, AR

Sources for this page

Verify at the official NPI Registry.