Individual provider Active NPI

Autumn Morales, APRN

  • Family Nurse Practitioner
  • De Queen, AR
National Provider Identifier
1316613417
Registry record updated Feb 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
216531 Issued in AR
Practice address
1206 W Collin Raye Dr
De Queen, AR 71832-2030
Phone
(888) 710-8220
Fax
(866) 573-0761
NPI assigned
Aug 18, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 216531 AR Primary

Addresses

Primary practice location

1206 W Collin Raye Dr
De Queen, AR 71832-2030

Mailing address

PO Box 1848
Mena, AR 71953-1841
Phone (888) 710-8220

Other identifiers 1

IdentifierTypeStateIssuer
275385758MedicaidAR

Other names 1

  • Autumn Dawn Marshall Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL smccmintock@amcardiology.com

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
I20220329002882 AR Practitioner - Nurse Practitioner 7315333440 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
216531ARMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy Connections, Inc. CurrentSince Feb 1, 2026 Accepting new patients
American Cardiology LLC CurrentSince Oct 23, 2022 Accepting new patients
Healthy Connections Incorporated CurrentSince Feb 1, 2026 Accepting new patients

Locations

503 E Collin Raye Dr
De Queen, AR 71832
Phone (870) 580-1053

1206 W Collin Raye Dr
De Queen, AR 71832
Phone (870) 642-3317

405 E Collin Raye Dr
Ste C
De Queen, AR 71832
Phone (870) 505-4455

136 Health Park Dr
Mena, AR 71953
Phone (479) 437-6023

534 Luzerne St
Mount Ida, AR 71957
Phone (870) 867-4244

511 S Park Dr
Ste C
Broken Bow, OK 74728
Phone (580) 584-1053

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1629244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772150400000",
    "number": "1316613417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1848",
            "city": "MENA",
            "state": "AR",
            "postal_code": "719531841",
            "telephone_number": "888-710-8220",
            "fax_number": "866-573-0761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1206 W COLLIN RAYE DR",
            "city": "DE QUEEN",
            "state": "AR",
            "postal_code": "718322030",
            "telephone_number": "888-710-8220",
            "fax_number": "866-573-0761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORALES",
        "first_name": "AUTUMN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-18",
        "last_updated": "2026-02-27",
        "certification_date": "2026-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "216531",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "275385758",
            "state": "AR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "smccmintock@amcardiology.com",
            "affiliation": "N",
            "address_1": "500 E Collin Raye Dr",
            "city": "DE Queen",
            "state": "AR",
            "country_code": "US",
            "postal_code": "718328048",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "AUTUMN",
            "last_name": "MARSHALL",
            "middle_name": "DAWN",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in De Queen, AR

Sources for this page

Verify at the official NPI Registry.