Individual provider Active NPI

Shannon Rena Rink, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Springdale, AR
National Provider Identifier
1265168702
Registry record updated Apr 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
231908 Issued in AR
Practice address
2400 S 48TH St
Springdale, AR 72762-6683
Phone
(479) 750-2020
NPI assigned
Jul 27, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 231908 AR Primary

Addresses

Primary practice location

2400 S 48TH St
Springdale, AR 72762-6683

Mailing address

2400 S 48TH St
Springdale, AR 72762-6683
Phone (797) 255-1154

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, AR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20221004002350 KS Practitioner - Nurse Practitioner 9133505852 Reassigns benefits to 1 organization
I20250416001656 AR Practitioner - Nurse Practitioner 9133505852 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Counseling Associates IncGroup PAC ID 3173583564, 33 clinicians
Arisa Health IncGroup PAC ID 2264853829, 65 clinicians
Ozark Guidance Center, IncGroup PAC ID 7214833730, 34 clinicians

Practice addresses (Care Compare)

110 Skyline Dr
Russellville, AR 72801-3362
Phone (479) 967-5570

2400 S 48TH St
Springdale, AR 72762-6683
Phone (479) 725-5115

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
231908ARMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ozark Guidance Center, Inc CurrentSince Apr 14, 2025 Accepting new patients
Arisa Health, Inc. Psychiatric/Mental Health CurrentSince Apr 14, 2025 Accepting new patients
Community Health Center of Southeast Kansas Inc CurrentSince Sep 6, 2022 Accepting new patients
Ozark Guidance Center, Inc CurrentSince Apr 14, 2025 Accepting new patients
Arisa Health, Inc. CurrentSince Apr 14, 2025 Accepting new patients
Counseling Associates Inc CurrentSince Apr 14, 2025 Accepting new patients
Professional Counseling Associates Inc. CurrentSince Apr 14, 2025 Accepting new patients
Counseling Associates, Inc. CurrentSince Apr 14, 2025 Accepting new patients
Community Health Center of Southeast Kansas Inc CurrentSince Sep 6, 2022 Accepting new patients
Professional Counseling Associates Inc. PastSince May 31, 2020 Accepting new patients

Locations

2508 SE 20th St
Unit 1
Bentonville, AR 72712
Phone (479) 273-2111

2508 SE 20th St
Bentonville, AR 72712
Phone (479) 273-9088

405 N 2nd St
Cabot, AR 72023
Phone (501) 221-1843

350 Salem Rd
Ste 1
Conway, AR 72034
Phone (501) 336-8300

1104 N College St
Huntsville, AR 72740
Phone (479) 738-2878

2707 Browns Ln
Jonesboro, AR 72401
Phone (870) 972-4000

201 W 2nd St
Lonoke, AR 72086
Phone (501) 676-3151

3601 Richards Rd
North Little Rock, AR 72117
Phone (501) 221-1843

4354 Stockton Dr
North Little Rock, AR 72117
Phone (501) 221-1843

110 Skyline Dr
Russellville, AR 72801
Phone 4799675570223

2400 S 48th St
Springdale, AR 72762
Phone (479) 725-5115

1017 E Market St
Lacygne, KS 66040
Phone (913) 757-4575

3011 N Michigan St
Pittsburg, KS 66762
Phone (620) 231-1960

1011 S Mount Carmel Pl
Pittsburg, KS 66762
Phone (620) 231-6160

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1658880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744329600000",
    "number": "1265168702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 S 48TH ST",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727626683",
            "telephone_number": "797-255-1154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 S 48TH ST",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727626683",
            "telephone_number": "479-750-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RINK",
        "first_name": "SHANNON",
        "middle_name": "RENA",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-27",
        "last_updated": "2025-04-11",
        "certification_date": "2025-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AR",
            "license": "231908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springdale, AR

Sources for this page

Verify at the official NPI Registry.