Carrisa Suzette Patrick, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

A005820 Issued in AR

Practice address

6108 S 31St St
Fort Smith, AR 72908-7555

Phone

(479) 242-9355

NPI assigned

Aug 6, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Urgent Team of Arkansas Physicians LLCGroup PAC ID 1850539198, 155 clinicians

Elite Wellness and Aesthetics, PLLCGroup PAC ID 0244673168, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mercy Hospital Fort Smith Hospital, Fort Smith, AR, CCN 040062
• Baptist Health - Fort Smith Hospital, Fort Smith, AR, CCN 040055

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DGDDDD/Endpoint/DGDDDD
• FHIR API: https://api.platform.athenahealth.com/13757/brand/1/csg/1/fhir/r4

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.

• Elite Wellness & Aesthetics, PLLC

  • Family Nurse Practitioner
  • Fort Smith, AR
  • NPI 1780451088

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Urgent Team of Arkansas Physicians, LLC

  • Rural Health Clinic/Center
  • Searcy, AR
  • NPI 1992041370

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Keystone Family Clinic

  • Primary Care Clinic/Center
  • Fort Smith, AR
  • NPI 1205280021

  Single Specialty

  Medicare reassignment NPD
• Urgent Team of Arkansas Physicians, LLC

  • Rural Health Clinic/Center
  • Batesville, AR
  • NPI 1326730466
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Baptist Health Regional Hospitals

  • General Acute Care Hospital
  • Fort Smith, AR
  • NPI 1710463146
  Care Compare affiliation
• Mercy Hospital Fort Smith

  • General Acute Care Hospital
  • Fort Smith, AR
  • NPI 1568433480
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1533513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722556800000",
    "number": "1225516826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9425 W HIGHWAY 248",
            "city": "WALDRON",
            "state": "AR",
            "postal_code": "729588639",
            "telephone_number": "501-802-0072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6108 S 31ST ST",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729087555",
            "telephone_number": "479-242-9355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATRICK",
        "first_name": "CARRISA",
        "middle_name": "SUZETTE",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-06",
        "last_updated": "2024-08-02",
        "certification_date": "2024-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A005820",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN LICENSE",
            "identifier": "A005820",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Pate, CNM
• Avneet Patel
• Samir Vitthalbhai Patel, MD, MPH
• Sneh Govindbhai Patel, M.D.
• Monali Hanmant Patil, M.D
• Ellen Patridge, LAC
• Danielle Tracy Patterson, LAC
• Kathy Patton, LPC
• Ryan Patton, MD
• Paul L. Winborn II, DDS, PA

• Family Nurse Practitioner in Fort Smith, AR
• Providers in Fort Smith, AR by specialty
• Family Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2024; 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.

Verify at the official NPI Registry.