Individual provider Active NPI

Carly Nufer, FNP

  • Family Nurse Practitioner
  • North Little Rock, AR
National Provider Identifier
1295506459
Registry record updated Apr 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
125119 Issued in AR
Practice address
2601 McCain Blvd Ste C
North Little Rock, AR 72116-8013
Phone
(501) 451-5155
NPI assigned
Jan 15, 2024
Last updated
Apr 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 125119 AR Primary
Registered Nurse 163W00000X 125119 AR

Addresses

Primary practice location

2601 McCain Blvd Ste C
North Little Rock, AR 72116-8013

Mailing address

1200 Covington Way Apt 1608
Conway, AR 72034-7178

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
I20260507000372 AR Practitioner - Nurse Practitioner 8729556824 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1200 Covington Way
Apt 1609
Conway, AR 72034-7178

214 Centerview Dr
Suite 250
Brentwood, TN 37027-2700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
125119ARMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Ivx Health of Arkansas, Inc. CurrentSince Feb 24, 2024 Accepting new patients

Locations

17406 Chenal Pkwy
Ste 250
Little Rock, AR 72223
Phone (501) 604-6604

101 Monument St
Ste D
Lowell, AR 72745
Phone (479) 361-8601

2601 McCain Blvd
#C
North Little Rock, AR 72116
Phone (501) 451-5155

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1705276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777420800000",
    "number": "1295506459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 COVINGTON WAY APT 1608",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720347178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 MCCAIN BLVD STE C",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721168013",
            "telephone_number": "501-451-5155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUFER",
        "first_name": "CARLY",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-15",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "125119",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AR",
            "license": "125119",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Little Rock, AR

Sources for this page

Verify at the official NPI Registry.