Mary Candace Depper, MD
Individual provider Active NPI Family Medicine Physician · Mountain Home, AR
NPI 1306375084 · NPPES record last updated Aug 25, 2021
Key facts
- NPI
- 1306375084
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- E-13094 (AR)
- Practice address
- 899 Burnett Dr
Mountain Home, AR 72653-2909 - Phone
- (870) 425-6212
- Fax
- (866) 689-4817
- NPI assigned
- Jun 7, 2017
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 25
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Baxter County Regional Hospital Inc
Cherry Health Center, LLC
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
- Baxter Health Home Health
- Elite Home Health
- Baxter Health
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal or shaving of skin growth | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210916002338 | AR | Practitioner - Family Practice | 0446657506 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E-13094 | AR | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baxter County Regional Hospital, Inc | Family Medicine | Current |
Accepting new patients |
| Baxter County Regional Hospital, Inc | Current |
Accepting new patients | |
| Baxter County Regional Hospital, Inc. | Family Medicine | Current |
Accepting new patients |
| Baxter County Regional Hospital, Inc | Family Medicine | Current |
Accepting new patients |
| Fulton County Hospital | Current |
Accepting new patients | |
| Fulton County Hospital | Current |
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
#6S
Mountain Home, AR 72653
Phone (870) 421-6023
624 Hospital Dr
Mountain Home, AR 72653
Phone (870) 424-1000
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
- mary.depper@bhcawp.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | E-13094 | AR | Yes |
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
- Mrs. Mary Candace Sellers
Other providers in Mountain Home, AR
- Carrie Ann Defoor
- Lynn A Delgado
- Brandy Deloach
- Delta Direct Health PLLC
- Delta Medical Group Inc
- Developmental Discoveries, Inc.
- Sarah Dewey
- Sharon Dibble
- Justin Dickerson
- Jacob Lee Dickinson
All providers in Mountain Home, AR · Family Medicine Physician in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 25, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.