Individual provider Active NPI

Kerry Hanna, APRN

  • Family Nurse Practitioner
  • Newport, AR
National Provider Identifier
1245680321
Registry record updated Jul 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A004778 Issued in AR
Practice address
2000 McLain St
Newport, AR 72112-3661
Phone
(870) 523-2944
NPI assigned
Jun 20, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2019

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 A004778 AR Primary

Addresses

Primary practice location

2000 McLain St
Newport, AR 72112-3661

Mailing address

PO Box 497
Augusta, AR 72006-0497
Phone (870) 347-2543

Other identifiers 1

IdentifierTypeStateIssuer
214371758MedicaidAR

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
I20160722000189 AR Practitioner - Nurse Practitioner 8325331705 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arcare 249 clinicians

Practice addresses (Care Compare)

114 Ray St
Newport, AR 72112-4260
Phone (870) 523-2953

623 N 9TH St
Augusta, AR 72006-2129
Phone (870) 347-2534

801 N Edmonds
Arcare 50
McCrory, AR 72101-0807
Phone (870) 731-5411

Hospital & facility affiliations

  • Unity Health Homecare Home health agency, Newport, AR, CCN 047052
  • Unity Health - Newport Hospital, Newport, AR, CCN 041332

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A004778ARMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Arcare CurrentSince Jun 20, 2016 Accepting new patients
Arcare CurrentSince Jun 20, 2016 Accepting new patients
Arcare Current Accepting new patients
Arcare Past Accepting new patients

Locations

623 N 9th St
#40
Augusta, AR 72006

117 S 2nd St
Augusta, AR 72006

2000 McLain St
Newport, AR 72112
Phone (870) 523-2944

114 Ray St
Newport, AR 72112
Phone (870) 523-2944

Interoperability endpoints

  • Direct secure messaging: kerry.hanna@arcare.directbygreenway.com

Organizations & group practices 4

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": "1466380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562544000000",
    "number": "1245680321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 497",
            "city": "AUGUSTA",
            "state": "AR",
            "postal_code": "720060497",
            "telephone_number": "870-347-2543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 MCLAIN ST",
            "city": "NEWPORT",
            "state": "AR",
            "postal_code": "721123661",
            "telephone_number": "870-523-2944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANNA",
        "first_name": "KERRY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-20",
        "last_updated": "2019-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A004778",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "214371758",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport, AR

Sources for this page

Verify at the official NPI Registry.