NPIMap

Individual provider Active NPI

Mary Candace Depper, MD

  • Family Medicine Physician
  • Mountain Home, AR
National Provider Identifier
1306375084
Registry record updated Aug 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E-13094 Issued in AR
Practice address
899 Burnett Dr
Mountain Home, AR 72653-2909
Phone
(870) 425-6212
Fax
(866) 689-4817
NPI assigned
Jun 7, 2017
Last updated
Aug 25, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X E-13094 AR Primary

Addresses

Primary practice location

899 Burnett Dr
Mountain Home, AR 72653-2909

Mailing address

899 Burnett Dr
Mountain Home, AR 72653-2909
Phone (870) 425-6212

Other names 1

  • Mrs. Mary Candace Sellers Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210916002338 AR Practitioner - Family Practice 0446657506 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cherry Health Center, LLCGroup PAC ID 1355317033, 97 clinicians

Practice addresses (Care Compare)

414 W Old Main St
Yellville, AR 72687-8284
Phone (870) 449-4221

607 W Battlefield St
Springfield, MO 65807-4123
Phone (417) 869-2000

899 Burnett Dr
Mountain Home, AR 72653-2909
Phone (870) 425-6212

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
E-13094ARMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fulton County Hospital CurrentSince Nov 12, 2021 Accepting new patients
Baxter County Regional Hospital, Inc Family Medicine CurrentSince Sep 1, 2021 Accepting new patients
Baxter County Regional Hospital, Inc Family Medicine CurrentSince Dec 22, 2025 Accepting new patients
Baxter County Regional Hospital, Inc CurrentSince Dec 22, 2025 Accepting new patients
Fulton County Hospital CurrentSince Nov 12, 2021 Accepting new patients
Baxter County Regional Hospital, Inc. Family Medicine CurrentSince Sep 1, 2021 Accepting new patients
Baxter County Regional Hospital Inc Past Accepting new patients
Ozarks Medical Center Family Medicine Past Accepting new patients

Locations

555 W 6th St
Mountain Home, AR 72653
Phone (870) 425-1787

624 Hospital Dr
Mountain Home, AR 72653
Phone (870) 424-1000

624 Hospital Dr
#6S
Mountain Home, AR 72653
Phone (870) 421-6023

899 Burnett Dr
Mountain Home, AR 72653
Phone (870) 232-4385

414 W Old Main St
Yellville, AR 72687
Phone (870) 424-1000

Interoperability endpoints

  • Direct secure messaging: mary.depper@bhcawp.eclinicaldirectplus.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1496793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629849600000",
    "number": "1306375084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "899 BURNETT DR",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726532909",
            "telephone_number": "870-425-6212",
            "fax_number": "866-689-4817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "899 BURNETT DR",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726532909",
            "telephone_number": "870-425-6212",
            "fax_number": "866-689-4817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEPPER",
        "first_name": "MARY",
        "middle_name": "CANDACE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-07",
        "last_updated": "2021-08-25",
        "certification_date": "2021-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E-13094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "SELLERS",
            "middle_name": "CANDACE",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mountain Home, AR

Sources for this page

Verify at the official NPI Registry.