Individual provider Active NPI

Alisa Danielle Ruffner, DNP

  • Gerontology Nurse Practitioner
  • Hot Springs, AR
National Provider Identifier
1316322787
Registry record updated Apr 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
084250 Issued in AR
Practice address
1636 Higdon Ferry Rd
Hot Springs, AR 71913-6912
Phone
(501) 651-2000
Fax
(501) 651-2394
NPI assigned
Jul 27, 2015
Last updated
Apr 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X A004449 AR
Gerontology Nurse Practitioner 363LG0600X 084250 AR Primary
Acute Care Nurse Practitioner 363LA2100X A004449 AR

Addresses

Primary practice location

1636 Higdon Ferry Rd
Hot Springs, AR 71913-6912

Mailing address

6031 Charley PL
Benton, AR 72019-8937
Phone (501) 651-2000

Other names 1

  • Alisa Whitfield Former name

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
I20151109001568 AR Practitioner - Nurse Practitioner 4981914652 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1636 Higdon Ferry Rd
Hot Springs, AR 71913-6912
Phone (501) 651-2000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
084250ARMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Arkansas for Medical Sciences CurrentSince Oct 1, 2019 Accepting new patients
First Docs LLC CurrentSince Apr 1, 2023 Accepting new patients
Daiya Healthcare PLLC CurrentSince Jul 29, 2022 Accepting new patients
NP Provider Solutions CurrentSince Apr 16, 2024 Accepting new patients
University of Arkansas for Medical Sciences Current Accepting new patients
University of Arkansas for Medical Sciences CurrentSince Oct 1, 2019 Accepting new patients
Mercer Bucks Medical Associates, P.C. Past Accepting new patients

Locations

1636 Higdon Ferry Rd
#301
Hot Springs, AR 71913

1636 Higdon Ferry Rd
Hot Springs National Park, AR 71913
Phone (501) 520-2000

1636 Higdon Ferry Rd
Ste 301
Hot Springs National Park, AR 71913

4301 W Markham St
Little Rock, AR 72205
Phone (501) 603-1278

4301 W Markham St
#532
Little Rock, AR 72205
Phone (501) 686-5311

4301 W Markham St
#783
Little Rock, AR 72205
Phone (501) 603-1278

11120 NE 33rd Pl
Ste 202
Bellevue, WA 98004
Phone (206) 426-2584

Organizations & group practices 7

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": "1437955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1316322787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6031 CHARLEY PL",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720198937",
            "telephone_number": "501-651-2000",
            "fax_number": "501-651-2394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1636 HIGDON FERRY RD",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719136912",
            "telephone_number": "501-651-2000",
            "fax_number": "501-651-2394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUFFNER",
        "first_name": "ALISA",
        "middle_name": "DANIELLE",
        "name_prefix": "Dr.",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-27",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A004449",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "AR",
            "license": "084250",
            "primary": true
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AR",
            "license": "A004449",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALISA",
            "last_name": "WHITFIELD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hot Springs, AR

Sources for this page

Verify at the official NPI Registry.