NPIMap

Individual provider Active NPI

Melissa Puckett, APRN

  • Family Nurse Practitioner
  • Hot Springs, AR
National Provider Identifier
1225424146
Registry record updated Mar 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A004350 Issued in AR
Practice address
100 McGowan CT
Hot Springs, AR 71913-6452
Phone
(501) 525-9675
Fax
(501) 525-7059
NPI assigned
Apr 7, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2017

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 A004350 AR Primary

Addresses

Primary practice location

100 McGowan CT
Hot Springs, AR 71913-6452

Mailing address

PO Box 21850
Hot Springs, AR 71903-1850
Phone (501) 525-9675

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150601002063 AR Practitioner - Nurse Practitioner 6002137189 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shiloh Emergency Group PLLCGroup PAC ID 6901228154, 59 clinicians
Appello Health and Wellness Clinic LLCGroup PAC ID 3971043290, 76 clinicians

Practice addresses (Care Compare)

2 Saint Vincent Cir
Little Rock, AR 72205-5423
Phone (501) 552-3000

2223 Grant St
Malvern, AR 72104-4700
Phone (501) 337-9031

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
CHI St Vincent Hospital Hot Springs CurrentSince Oct 1, 2015 Accepting new patients
Mission Clinical Services Current Accepting new patients
CHI St. Vincent Medical Group Hot Springs CurrentSince Apr 13, 2015 Accepting new patients
CHI St Vincent Hospital Hot Springs CurrentSince Oct 1, 2015 Accepting new patients
CHI St. Vincent Medical Group Hot Springs Current Accepting new patients
Shiloh Emergency Group PLLC CurrentSince Jun 20, 2020 Accepting new patients
Appello Health and Wellness Clinic, LLC Past Accepting new patients

Locations

1 Mercy Ln
Ste 301
Hot Springs, AR 71913
Phone (501) 622-6556

300 Werner St
Hot Springs National Park, AR 71913
Phone (501) 622-1000

100 McGowan Ct
Hot Springs National Park, AR 71913
Phone (501) 525-9675

1 Mercy Ln
Ste 201
Hot Springs National Park, AR 71913
Phone (501) 321-2229

4419 N Highway 7
Ste 200
Hot Springs Village, AR 71909
Phone (501) 922-2217

2 Saint Vincent Cir
Little Rock, AR 72205
Phone (501) 552-2680

2215 Wildwood Ave
Sherwood, AR 72120
Phone (501) 522-7100

Organizations & group practices 7

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.

Hospital & facility affiliations 6

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": "1428364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488326400000",
    "number": "1225424146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21850",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719031850",
            "telephone_number": "501-525-9675",
            "fax_number": "501-525-7059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MCGOWAN CT",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719136452",
            "telephone_number": "501-525-9675",
            "fax_number": "501-525-7059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUCKETT",
        "first_name": "MELISSA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-07",
        "last_updated": "2017-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A004350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hot Springs, AR

Sources for this page

Verify at the official NPI Registry.