Individual provider Active NPI

Paula Suzanne Stephens, APRN

  • Neurological Surgery Physician
  • Rogers, AR
National Provider Identifier
1326690132
Registry record updated Jul 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
121401 Issued in AR
Practice address
2708 S Rife Medical LN Ste 140
Rogers, AR 72758
Phone
(479) 338-3720
Fax
(479) 338-3749
NPI assigned
Jul 11, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 121401 AR Primary

Addresses

Primary practice location

2708 S Rife Medical LN Ste 140
Rogers, AR 72758

Mailing address

2708 S Rife Medical LN Ste 140
Rogers, AR 72758-1455
Phone (479) 338-3720

Other practice location 1

2708 S Rife Medical Ln Ste 140
Rogers, AR 72758-1455
Phone (479) 338-3720

Other names 1

  • Paula Suzanne Taylor 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
I20190815000060 AR Practitioner - Nurse Practitioner 4688901531 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2708 S Rife Medical LN
Suite 140
Rogers, AR 72758-1455
Phone (479) 338-3720

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Northwest Arkansas Communities CurrentSince Aug 26, 2019 Accepting new patients
Mercy Health Northwest Arkansas Communities CurrentSince Aug 26, 2019 Accepting new patients
Mercy Health Northwest Arkansas Communities Current Accepting new patients

Locations

1 Mercy Way
Ste 20
Bella Vista, AR 72714
Phone (479) 802-5555

3101 SE 14th St
Bentonville, AR 72712
Phone (479) 631-2100

2708 S Rife Medical Ln
Ste 140
Rogers, AR 72758
Phone (479) 338-3720

Interoperability endpoints

  • Direct secure messaging: pstephens1032395@directc.mercy.net

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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": "1562803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563753600000",
    "number": "1326690132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2708 S RIFE MEDICAL LN STE 140",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727581455",
            "telephone_number": "479-338-3720",
            "fax_number": "479-338-3749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2708 S RIFE MEDICAL LN STE 140",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "72758",
            "telephone_number": "479-338-3720",
            "fax_number": "479-338-3749"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2708 S Rife Medical Ln Ste 140",
            "address_purpose": "LOCATION",
            "city": "Rogers",
            "state": "AR",
            "postal_code": "727581455",
            "country_code": "US",
            "telephone_number": "479-338-3720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEPHENS",
        "first_name": "PAULA",
        "middle_name": "SUZANNE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-11",
        "last_updated": "2019-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "AR",
            "license": "121401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAULA",
            "last_name": "TAYLOR",
            "middle_name": "SUZANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rogers, AR

Sources for this page

Verify at the official NPI Registry.