Individual provider Active NPI

Paul Ramirez, APRN, AGPC-NP

  • Adult Health Nurse Practitioner
  • Rogers, AR
National Provider Identifier
1265163513
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
217247 Issued in AR
Practice address
2708 S Rife Medical LN Ste 210
Rogers, AR 72758-1456
Phone
(479) 338-3888
Fax
(479) 338-4453
NPI assigned
Jun 17, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 217247 AR Primary

Addresses

Primary practice location

2708 S Rife Medical LN Ste 210
Rogers, AR 72758-1456

Mailing address

2708 S Rife Medical LN Ste 210
Rogers, AR 72758-1456
Phone (479) 338-3888

Other practice location 1

2708 S Rife Medical Ln Ste 220
Rogers, AR 72758-1456
Phone (479) 338-4400

Other practice location 2

2710 S Rife Medical Ln
Rogers, AR 72758-1452
Phone (479) 338-8000

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
I20220802000582 AR Practitioner - Nurse Practitioner 9830571223 Reassigns benefits to 1 organization

Care Compare profile

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

Practice addresses (Care Compare)

2708 S Rife Medical LN
Suite 210
Rogers, AR 72758-1456
Phone (479) 338-3888

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
217247ARMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Northwest Arkansas Communities CurrentSince Jul 20, 2022 Accepting new patients
Mercy Health Northwest Arkansas Communities CurrentSince Jul 20, 2022 Accepting new patients

Locations

3101 SE 14th St
Bentonville, AR 72712
Phone (479) 631-2100

2710 S Rife Medical Ln
Rogers, AR 72758
Phone (479) 338-8000

2708 S Rife Medical Ln
Ste 220
Rogers, AR 72758
Phone (479) 338-4400

2708 S Rife Medical Ln
Ste 210
Rogers, AR 72758
Phone (479) 338-3888

Interoperability endpoints

  • Direct secure messaging: pramirez802189@directc.mercy.net

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1655424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1265163513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2708 S RIFE MEDICAL LN STE 210",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727581456",
            "telephone_number": "479-338-3888",
            "fax_number": "479-338-4453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2708 S RIFE MEDICAL LN STE 210",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727581456",
            "telephone_number": "479-338-3888",
            "fax_number": "479-338-4453"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2708 S Rife Medical Ln Ste 220",
            "address_purpose": "LOCATION",
            "city": "Rogers",
            "state": "AR",
            "postal_code": "727581456",
            "country_code": "US",
            "telephone_number": "479-338-4400",
            "fax_number": "479-338-4445",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2710 S Rife Medical Ln",
            "address_purpose": "LOCATION",
            "city": "Rogers",
            "state": "AR",
            "postal_code": "727581452",
            "country_code": "US",
            "telephone_number": "479-338-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAMIREZ",
        "first_name": "PAUL",
        "credential": "APRN, AGPC-NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-17",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AR",
            "license": "217247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rogers, AR

Sources for this page

Verify at the official NPI Registry.