Skylar Aspen Vanderburg, CNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

125810 Issued in AR

Practice address

245 Madison St
Clarendon, AR 72029-2706

Phone

(870) 747-3381

Fax

(870) 747-3631

NPI assigned

Sep 26, 2024

Sex

Female

Sole proprietor

No

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.

• Mid-Delta Health Systems Inc

  • Federally Qualified Health Center (FQHC)
  • Clarendon, AR
  • NPI 1255346060

  AR

  Medicare reassignment Care Compare group NPD
• Mid-Delta Health Systems, Inc.

  • Federally Qualified Health Center (FQHC)
  • Clarendon, AR
  • NPI 1679354468
  Care Compare group NPD
• Mid-Delta Health Systems, Inc.

  • Federally Qualified Health Center (FQHC)
  • De Witt, AR
  • NPI 1053938118
  Care Compare group NPD (past)
• Mid-Delta Health Systems, Inc.

  • Federally Qualified Health Center (FQHC)
  • Stuttgart, AR
  • NPI 1205551884
  Care Compare group NPD (past)

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mid-Delta Health Systems Inc 11 clinicians

Practice addresses (Care Compare)

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

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: skylar.vanderburg@mdhs.eclinicaldirectplus.com

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

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1727308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773187200000",
    "number": "1326865635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 MADISON ST",
            "city": "CLARENDON",
            "state": "AR",
            "postal_code": "720292706",
            "telephone_number": "870-747-3381",
            "fax_number": "870-747-3631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 MADISON ST",
            "city": "CLARENDON",
            "state": "AR",
            "postal_code": "720292706",
            "telephone_number": "870-747-3381",
            "fax_number": "870-747-3631"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1117 Eason Rd",
            "address_purpose": "LOCATION",
            "city": "Clarendon",
            "state": "AR",
            "postal_code": "720292808",
            "country_code": "US",
            "telephone_number": "870-747-3381",
            "fax_number": "870-747-3631",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1940 S Whitehead Dr",
            "address_purpose": "LOCATION",
            "city": "DE Witt",
            "state": "AR",
            "postal_code": "720422906",
            "country_code": "US",
            "telephone_number": "870-946-4505",
            "fax_number": "870-946-3357",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2022 S Buerkle St",
            "address_purpose": "LOCATION",
            "city": "Stuttgart",
            "state": "AR",
            "postal_code": "721606508",
            "country_code": "US",
            "telephone_number": "870-659-2600",
            "fax_number": "870-659-2601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANDERBURG",
        "first_name": "SKYLAR",
        "middle_name": "ASPEN",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-26",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AR",
            "license": "125810",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AR",
            "license": "125810",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Polk Pharmacy Management, LLC
• Mary Carole M Polk, RPH
• Curtis Andrew Schalchlin, M.D.
• Spot LLC
• Stuttgart Regional Medical Center
• Jill R Vandesteeg
• Ashlee Vanhouten, APRN
• Leah K Williamson
• Richard Royce Wilson, M.D.

• All providers in Clarendon, AR
• Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.