Sally Kearstin Hambelton

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

A005376 Issued in AR

Practice address

630 Burnett Dr
Mountain Home, AR 72653-2941

Phone

(870) 425-6971

Fax

(870) 508-8900

NPI assigned

Oct 1, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR, MO2 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 2

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Appello Health and Wellness Clinic LLCGroup PAC ID 3971043290, 76 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sally.hambelton@bhcawp.eclinicaldirectplus.com

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.

• Appello Health and Wellness Clinic, LLC

  • Rural Health Clinic/Center
  • Malvern, AR
  • NPI 1215773262
  Medicare reassignment Care Compare group
• Baxter Regional Health System

  • Internal Medicine Physician
  • Mammoth Spring, AR
  • NPI 1689432304

  MO

  Medicare reassignment NPD
• Baxter Regional Health System

  • Family Medicine Physician
  • Harrison, AR
  • NPI 1063223089
  NPD
• Baxter Regional Health System

  • Family Medicine Physician
  • Bakersfield, MO
  • NPI 1013745637
  NPD
• Baxter Regional Health System

  • Family Medicine Physician
  • Mountain View, AR
  • NPI 1912365982
  NPD (past)
• Ozarks Medical Center

  • General Acute Care Hospital
  • West Plains, MO
  • NPI 1831115641
  NPD (past)

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

{
    "created_epoch": "1506816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506816000000",
    "number": "1407366768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817 STATE HIGHWAY 181",
            "city": "GAINESVILLE",
            "state": "MO",
            "postal_code": "656557448",
            "telephone_number": "417-712-4220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 BURNETT DR",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726532941",
            "telephone_number": "870-425-6971",
            "fax_number": "870-508-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMBELTON",
        "first_name": "SALLY",
        "middle_name": "KEARSTIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-01",
        "last_updated": "2017-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A005376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daisy Haggard
• Jamie Hale, APRN
• Kerri Hale, MHPP
• Aaron Lionel Hambelton
• Renee Hambelton, MHPP
• Ella Hammond, RN
• Heather Celest Hammonds, M.D.
• Lonnie M Hammonds Jr., M.D.
• Victoria Michelle Hampton, ARNP
• Hailey Harden

• Family Nurse Practitioner in Mountain Home, AR
• Providers in Mountain Home, AR by specialty
• Family Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2017; 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.