Debra Inevia Fairless, APN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

A03080ANP Issued in AR

Practice address

1210 Dequeen St
Mena, AR 71953-4132

Phone

(479) 394-5068

Fax

(479) 394-5626

NPI assigned

Mar 17, 2008

Last updated

Jul 6, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

University of Arkansas College of Medicine, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ouachita Family Practice LLCGroup PAC ID 4385705789, 3 clinicians

Fands Physical Therapy, IncGroup PAC ID 7810898459, 217 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Elite Home Health Home health agency, Mena, AR, CCN 047133
• Angels Care Home Health VII Home health agency, Poteau, OK, CCN 377627

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/GFIEAD

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.

• Ouachita Family Practice LLC

  • Family Nurse Practitioner
  • Mena, AR
  • NPI 1225289978
  Medicare reassignment Care Compare group NPD
• F&S Physical Therapy, Inc.

  • Physical Therapist
  • Alma, AR
  • NPI 1518936418
  Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Mena Medical Center Home Health, LLC

  dba Elite Home Health

  • Home Health Agency
  • Mena, AR
  • NPI 1649354960
  Care Compare affiliation
• Country Style Health Care Inc VII

  dba Angels Care Home Health VII

  • Home Health Agency
  • Poteau, OK
  • NPI 1861494759
  Care Compare affiliation

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

{
    "created_epoch": "1205712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309910400000",
    "number": "1285805358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 1788",
            "city": "MENA",
            "state": "AR",
            "postal_code": "719531781",
            "telephone_number": "479-394-5068",
            "fax_number": "479-394-5626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 DEQUEEN ST",
            "city": "MENA",
            "state": "AR",
            "postal_code": "719534132",
            "telephone_number": "479-394-5068",
            "fax_number": "479-394-5626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAIRLESS",
        "first_name": "DEBRA",
        "middle_name": "INEVIA",
        "name_prefix": "Mrs.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-17",
        "last_updated": "2011-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A03080ANP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ellison Management PLLC (Ellison Family Pharmacy)
• Jessica Pauline Ellison, PHARMD
• Levi Ellison, PHARMACIST
• Brian Erickson, PHARMD
• Jo Lee Erickson, OTR/L
• Faith & Hope Inc (Medi Shop Pharmacy)
• Faith & Hope, Inc (Medi Shop Pharmacy)
• Family Dentistry
• John Henry Finck, M.D.
• First Care Family Medicine-Mena PLLC

• Family Nurse Practitioner in Mena, AR
• Providers in Mena, AR by specialty
• Family Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2011; 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.

Verify at the official NPI Registry.