Individual provider Active NPI

Sarah Ann Cushman, A.P.R.N.

  • Acute Care Nurse Practitioner
  • Fayetteville, AR
National Provider Identifier
1275924821
Registry record updated Sep 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
A004332 Issued in AR
Practice address
1280 E Stearns St
Fayetteville, AR 72703-6241
Phone
(479) 445-6460
Fax
(479) 445-6719
NPI assigned
Feb 17, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X A004332 AR Primary

Addresses

Primary practice location

1280 E Stearns St
Fayetteville, AR 72703-6241

Mailing address

1280 E Stearns St
Fayetteville, AR 72703-6241
Phone (479) 445-6460

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, MN2 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
I20170511001955 AR Practitioner - Nurse Practitioner 1658673181 Reassigns benefits to 1 organization
I20220824003557 MN Practitioner - Nurse Practitioner 1658673181 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Arkansas College of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrated Wound Care Minnesota PLLCGroup PAC ID 2769722511, 14 clinicians

Practice addresses (Care Compare)

7700 Grand Ave
Duluth, MN 55807-2154
Phone (718) 705-6010

Merit-based Incentive Payment System (MIPS)

Final score
59.96 of 100Reported as group
Quality
79.07
Promoting interoperability
0
Improvement activities
20
Cost
62.47

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Roller Weight Loss Institute Inc CurrentSince Feb 4, 2017 Accepting new patients
Integrated Wound Care Minnesota PLLC CurrentSince Jul 12, 2022 Accepting new patients
Roller Weight Loss Institute,Inc. CurrentSince Feb 4, 2017 Accepting new patients

Locations

1695 E Rainforest Rd
Ste 2
Fayetteville, AR 72703
Phone (479) 445-6460

1695 E Rainforest Rd
Fayetteville, AR 72703
Phone (479) 445-6460

12112 Highway 71 S
Fort Smith, AR 72916
Phone (479) 434-5350

7700 Grand Ave
Duluth, MN 55807
Phone (218) 628-2341

492C Cedar Ln
Teaneck, NJ 07666
Phone (201) 357-5468

Interoperability endpoints

  • Direct secure messaging: rollerweightlossandadvancedsurgery.sarahcushman@118248.advancedmd-direct.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1424131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441670400000",
    "number": "1275924821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1280 E STEARNS ST",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727036241",
            "telephone_number": "479-445-6460",
            "fax_number": "479-445-6719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1280 E STEARNS ST",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727036241",
            "telephone_number": "479-445-6460",
            "fax_number": "479-445-6719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUSHMAN",
        "first_name": "SARAH",
        "middle_name": "ANN",
        "credential": "A.P.R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-17",
        "last_updated": "2015-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AR",
            "license": "A004332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, AR

Sources for this page

Verify at the official NPI Registry.