Individual provider Active NPI

Eric Haertling, APN

  • Family Nurse Practitioner
  • Batesville, AR
National Provider Identifier
1245666536
Registry record updated Apr 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A003929 Issued in AR
Practice address
940 23Rd St
Batesville, AR 72501-6037
Phone
(870) 569-4341
NPI assigned
Sep 19, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X A003929 AR Primary
Emergency Medicine Physician 207P00000X A003929 AR

Addresses

Primary practice location

940 23Rd St
Batesville, AR 72501-6037

Mailing address

987 Kyler Rd
Batesville, AR 72501-7480
Phone (870) 598-4075

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
I20131106000451 AR Practitioner - Nurse Practitioner 6305071010 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

940 23Rd St
Batesville, AR 72501-6037
Phone (870) 598-4075

Hospital & facility affiliations

  • Adoration Home Health Home health agency, Batesville, AR, CCN 047080
  • Elite Home Health Home health agency, Salem, AR, CCN 047115
  • White River Medical Center Hospital, Batesville, AR, CCN 040119

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A003929ARMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Haertling Family Practice PLLC Family CurrentSince May 20, 2023 Accepting new patients
Greenbrier Emergency Services, Inc. Emergency Medicine CurrentSince Mar 1, 2023 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Dec 26, 2023 Accepting new patients

Locations

940 23rd St
Batesville, AR 72501
Phone (870) 569-4341

1555 Exchange Ave
Conway, AR 72032
Phone (501) 202-2300

3333 Springhill Dr
North Little Rock, AR 72117
Phone (501) 202-3000

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

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

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 and National Provider Directory roles.

Hospital & facility affiliations 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1379548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713744000000",
    "number": "1245666536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "987 KYLER RD",
            "city": "BATESVILLE",
            "state": "AR",
            "postal_code": "725017480",
            "telephone_number": "870-598-4075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 23RD ST",
            "city": "BATESVILLE",
            "state": "AR",
            "postal_code": "725016037",
            "telephone_number": "870-569-4341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAERTLING",
        "first_name": "ERIC",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-09-19",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A003929",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AR",
            "license": "A003929",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Batesville, AR

Sources for this page

Verify at the official NPI Registry.