NPIMap

Individual provider Active NPI

Joshua McIntosh, APRN

  • Nurse Practitioner
  • Batesville, AR
National Provider Identifier
1235651563
Registry record updated Jul 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
A005212 Issued in AR
Practice address
501 Virginia Dr Ste C
Batesville, AR 72501-7317
Phone
(870) 793-2371
NPI assigned
Jul 7, 2017
Last updated
Jul 11, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X A005212 AR Primary

Addresses

Primary practice location

501 Virginia Dr Ste C
Batesville, AR 72501-7317

Mailing address

501 Virginia Drive
Suite C
Batesville, AR 72501-7317
Phone (870) 793-2371

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
I20170905000741 AR Practitioner - Nurse Practitioner 9436422987 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
White River Health System, Inc.Group PAC ID 0143134270, 190 clinicians

Practice addresses (Care Compare)

1690 Harrison St
WRMC Orthopaedic and Sports Medicine Clinic
Batesville, AR 72501-7317
Phone (870) 793-2371

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A005212ARMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
White River Health System, Inc. CurrentSince Jul 1, 2017 Accepting new patients
White River Health System, Inc Nurse Practitioner Current Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

16 Hospital Cir
Ste A
Batesville, AR 72501
Phone (870) 269-4361

1690 Harrison St
Batesville, AR 72501

1710 Harrison St
Batesville, AR 72501
Phone (870) 262-1240

501 Virginia Dr
Ste C
Batesville, AR 72501

Organizations & group practices 3

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.

Hospital & facility affiliations 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1499385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499731200000",
    "number": "1235651563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 VIRGINIA DRIVE",
            "address_2": "SUITE C",
            "city": "BATESVILLE",
            "state": "AR",
            "postal_code": "725017317",
            "telephone_number": "870-793-2371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 VIRGINIA DR STE C",
            "city": "BATESVILLE",
            "state": "AR",
            "postal_code": "725017317",
            "telephone_number": "870-793-2371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCINTOSH",
        "first_name": "JOSHUA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-07",
        "last_updated": "2017-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AR",
            "license": "A005212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Batesville, AR

Sources for this page

Verify at the official NPI Registry.