Individual provider Active NPI

Kathleen Joy Prinner, ACNS-BC

  • Adult Health Clinical Nurse Specialist
  • Mountain Home, AR
National Provider Identifier
1386071785
Registry record updated Jun 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Clinical Nurse SpecialistTaxonomy code 364SA2200X
License
S002282 Issued in AR
Practice address
628 Hospital Dr Ste 1-a
Mountain Home, AR 72653-2946
Phone
(870) 508-3200
Fax
(870) 508-1359
NPI assigned
Sep 30, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Clinical Nurse Specialist 364SA2200X S002282 AR Primary

Addresses

Primary practice location

628 Hospital Dr Ste 1-a
Mountain Home, AR 72653-2946

Mailing address

PO Box 958539
Saint Louis, MO 63195-8539
Phone (870) 508-3200

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kathleen.prinner@bhcawep.eclinicaldirectplus.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
I20140325002018 AR Practitioner - Certified Clinical Nurse Specialist (CNS) 3173754611 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Clinical Nurse Specialist (CNS)
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

624 Hospital Dr
Mountain Home, AR 72653-2955
Phone (870) 508-1000

628 Hospital Dr
E 1
Mountain Home, AR 72653-2953
Phone (870) 425-3291

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Baxter County Regional Hospital Inc CurrentSince Oct 14, 2013 Accepting new patients
Baxter County Regional Hospital, Inc CurrentSince Oct 14, 2013 Accepting new patients
Ozarks Medical Center Past Accepting new patients
Baxter County Regional Hospital Inc Past Accepting new patients

Locations

628 Hospital Dr
Ste E1
Mountain Home, AR 72653
Phone (870) 425-3291

628 Hospital Dr
#E1
Mountain Home, AR 72653
Phone (870) 425-3291

628 Hospital Dr
Ste 3-E
Mountain Home, AR 72653
Phone (870) 508-7450

624 Hospital Dr
Mountain Home, AR 72653
Phone (870) 424-1000

628 Hospital Dr
Ste 1-A
Mountain Home, AR 72653
Phone (870) 425-4402

Interoperability endpoints

  • Direct secure messaging: kathleen.prinner@bhcawp.eclinicaldirectplus.com

Organizations & group practices 4

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 2

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": "1380499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623283200000",
    "number": "1386071785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 958539",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631958539",
            "telephone_number": "870-508-3200",
            "fax_number": "870-508-1359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "628 HOSPITAL DR STE 1-A",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726532946",
            "telephone_number": "870-508-3200",
            "fax_number": "870-508-1359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRINNER",
        "first_name": "KATHLEEN",
        "middle_name": "JOY",
        "credential": "ACNS-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-30",
        "last_updated": "2021-06-10",
        "certification_date": "2021-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "AR",
            "license": "S002282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kathleen.prinner@bhcawep.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "628 Hospital Dr Ste 1-A",
            "city": "Mountain Home",
            "state": "AR",
            "country_code": "US",
            "postal_code": "726532946",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mountain Home, AR

Sources for this page

Verify at the official NPI Registry.