Individual provider Active NPI

Shelbi R Carpenter, CNP

  • Family Nurse Practitioner
  • Hot Springs, AR
National Provider Identifier
1356739346
Registry record updated Mar 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A004263 Issued in AR
Practice address
315 Section Line Rd Ste a&B
Hot Springs, AR 71913-6480
Phone
(501) 359-3880
Fax
(501) 359-3881
NPI assigned
Dec 30, 2014
Last updated
Mar 14, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2023

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 21706 SC
Family Nurse Practitioner 363LF0000X 1-173237 AL
Family Nurse Practitioner 363LF0000X A004263 AR Primary

Addresses

Primary practice location

315 Section Line Rd Ste a&B
Hot Springs, AR 71913-6480

Mailing address

9601 Baptist Health Dr Ste 690
Little Rock, AR 72205-6328
Phone (501) 227-8422

Other practice location 1

5 Medical Park Dr Ste 200
Benton, AR 72015-3732
Phone (501) 776-3800

Other identifiers 2

IdentifierTypeStateIssuer
R079378OtherARREGISTERED NURSE
A004263OtherARCERTIFIED NURSE PRACTITIONER

Other names 1

  • Shelbi Carpenter Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, SC, AL3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20150306000194 AR Practitioner - Nurse Practitioner 9234455437 Reassigns benefits to 1 organization
I20180510000618 SC Practitioner - Nurse Practitioner 9234455437 Reassigns benefits to 1 organization
I20190327003314 AL Practitioner - Nurse Practitioner 9234455437 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prime Medical Group PLLCGroup PAC ID 1153753520, 17 clinicians

Practice addresses (Care Compare)

315 Section Line Rd Aandb
Dermatology Group of Arkansas PA
Hot Springs, AR 71913-6480
Phone (501) 776-3800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.06 of 100Reported as individual
Quality
96.54
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21706SCMDOphthalmology Physician
A004263ARMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Plastic Surgery Associates LLC CurrentSince Mar 6, 2018 Accepting new patients
Pinnacle Plastic Surgery Associates LLC CurrentSince Mar 6, 2018 Accepting new patients
Prime Medical Group PLLC CurrentSince Jun 1, 2020 Accepting new patients
Southeastern Dermatology Group PA CurrentSince Feb 15, 2019 Accepting new patients
Prime Medical Group PLLC CurrentSince Oct 25, 2020 Accepting new patients

Locations

1543 Professional Pkwy
Auburn, AL 36830
Phone (334) 821-9308

106 Westside Dr
Dothan, AL 36303
Phone (334) 699-3376

201B Longwood Dr SE
Huntsville, AL 35801
Phone (256) 539-6473

5 Medical Park Dr
Ste 200
Benton, AR 72015
Phone (501) 776-3800

315 Section Line Rd
Ste Ab
Hot Springs, AR 71913
Phone (501) 359-3880

9601 Baptist Health Dr
Ste 690
Little Rock, AR 72205
Phone (501) 227-8422

1416 W 43rd Ave
Pine Bluff, AR 71603
Phone (501) 776-3800

2505 Harrison Ave
Panama City, FL 32405
Phone 85023333762619

7 Mallett Way
Bluffton, SC 29910
Phone (513) 543-7648

Interoperability endpoints

  • Direct secure messaging: scarpenter@pmg.emadirect.md

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1419897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678752000000",
    "number": "1356739346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9601 BAPTIST HEALTH DR STE 690",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056328",
            "telephone_number": "501-227-8422",
            "fax_number": "501-537-2399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 SECTION LINE RD STE A&B",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719136480",
            "telephone_number": "501-359-3880",
            "fax_number": "501-359-3881"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5 Medical Park Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Benton",
            "state": "AR",
            "postal_code": "720153732",
            "country_code": "US",
            "telephone_number": "501-776-3800",
            "fax_number": "501-776-2209",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARPENTER",
        "first_name": "SHELBI",
        "middle_name": "R",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-30",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "21706",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-173237",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A004263",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED NURSE",
            "identifier": "R079378",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFIED NURSE PRACTITIONER",
            "identifier": "A004263",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHELBI",
            "last_name": "CARPENTER",
            "credential": "RN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hot Springs, AR

Sources for this page

Verify at the official NPI Registry.