Individual provider Active NPI

Deborah Ann Miles I, APN

  • Family Nurse Practitioner
  • Paragould, AR
National Provider Identifier
1245200468
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AO1466 Issued in AR
Practice address
2709 W Kingshighway Ste 6
Paragould, AR 72450-2644
Phone
(870) 236-7272
Fax
(870) 236-7275
NPI assigned
Jan 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 AO1466 AR Primary

Addresses

Primary practice location

2709 W Kingshighway Ste 6
Paragould, AR 72450-2644

Mailing address

1300 W Court St
Paragould, AR 72450-4105
Phone (870) 236-4100

Other practice location 1

1300 W Court St
Paragould, AR 72450-4105
Phone (870) 236-4100

Other identifiers 1

IdentifierTypeStateIssuer
150835003MedicaidAR

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
I20051205000641 AR Practitioner - Nurse Practitioner 1254351265 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hendrix Medical Services, P.L.L.C.Group PAC ID 7113992454, 3 clinicians

Practice addresses (Care Compare)

2709 W Kings Hwy
Suite 6
Paragould, AR 72450-2644
Phone (870) 236-7272

Hospital & facility affiliations

  • Ar Meth Med Ctr HH Home health agency, Paragould, AR, CCN 047004
  • St Bernards Home Care Home health agency, Jonesboro, AR, CCN 047033
  • Arkansas Methodist Medical Center Hospital, Paragould, AR, CCN 040039
  • St Bernards Medical Center Hospital, Jonesboro, AR, CCN 040020
  • Baptist Memorial Hospital Jonesboro, Inc. Hospital, Jonesboro, AR, CCN 040118

Merit-based Incentive Payment System (MIPS)

Final score
34.18 of 100Reported as individual
Quality
26.67
Improvement activities
0
Cost
78.36

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AO1466ARMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hendrix Medical Services PLLC CurrentSince Feb 5, 2018 Accepting new patients

Locations

2709 W Kingshighway
Ste 6
Paragould, AR 72450
Phone (870) 236-7272

1000 W Kingshighway
Ste 6
Paragould, AR 72450
Phone (870) 236-7272

1000 W Kingshwy
Ste 12
Paragould, AR 72450
Phone (870) 215-5424

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JGECAA/Endpoint/JGECAA

Organizations & group practices 1

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 5

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": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1245200468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 W COURT ST",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724504105",
            "telephone_number": "870-236-4100",
            "fax_number": "870-236-4122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2709 W KINGSHIGHWAY STE 6",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724502644",
            "telephone_number": "870-236-7272",
            "fax_number": "870-236-7275"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1300 W Court St",
            "address_purpose": "LOCATION",
            "city": "Paragould",
            "state": "AR",
            "postal_code": "724504105",
            "country_code": "US",
            "telephone_number": "870-236-4100",
            "fax_number": "870-236-4122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILES",
        "first_name": "DEBORAH",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "name_suffix": "I",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-23",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "AO1466",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "150835003",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paragould, AR

Sources for this page

Verify at the official NPI Registry.