Active NPI
Rachael Chandler, NP
- Family Nurse Practitioner
- Blytheville, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 123644
- Practice address
- Priority Health Clinic LLC
500 Park St
Blytheville, AR 72315-2424 - Phone
- (870) 860-7074
- Fax
- (870) 201-4196
- NPI assigned
- Jan 10, 2020
- Last updated
- Feb 12, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 123644 | AR | Primary |
Addresses
Primary practice location
Priority Health Clinic LLC
500 Park St
Blytheville, AR 72315-2424
Mailing address
112 Ramblewood Dr
Blytheville, AR 72315-7237
Phone (870) 278-3473
Other practice location 1
1100 Medical Dr
Blytheville, AR 72315-1425
Phone (870) 824-2809
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
500 Park St
Blytheville, AR 72315-2424
Phone (870) 860-7074
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 123644 | AR | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nea Reliant Health Care Professionals Inc | Family | Current | Accepting new patients |
| Priority Health Clinic LLC | Family | Current | Accepting new patients |
Locations
500 Park St
Blytheville, AR 72315
Phone (870) 278-3473
9146 Highway 63 N
Bono, AR 72416
Phone (870) 930-9990
1045 W Main St
#C
Walnut Ridge, AR 72476
Phone (870) 886-8300
Interoperability endpoints
- https://api.platform.athenahealth.com/12230/brand/1/csg/1/fhir/r4
Organizations & group practices 2
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.
-
- Family Nurse Practitioner
- Blytheville, AR
- NPI 1447066485
-
dba Bono Family Medical Clinic and Therapy Services
- Family Nurse Practitioner
- Bono, AR
- NPI 1467829804
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Great River Medical Center
- General Acute Care Hospital
- Blytheville, AR
- NPI 1316180748
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739318400000",
"number": "1245870989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 RAMBLEWOOD DR",
"city": "BLYTHEVILLE",
"state": "AR",
"postal_code": "723157237",
"telephone_number": "870-278-3473"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PRIORITY HEALTH CLINIC LLC",
"address_2": "500 PARK ST",
"city": "BLYTHEVILLE",
"state": "AR",
"postal_code": "723152424",
"telephone_number": "870-860-7074",
"fax_number": "870-201-4196"
}
],
"practiceLocations": [
{
"address_1": "1100 Medical Dr",
"address_purpose": "LOCATION",
"city": "Blytheville",
"state": "AR",
"postal_code": "723151425",
"country_code": "US",
"telephone_number": "870-824-2809",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHANDLER",
"first_name": "RACHAEL",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-10",
"last_updated": "2025-02-12",
"certification_date": "2025-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AR",
"license": "123644",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Blytheville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2025; 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.