Individual provider Active NPI

Taylor Barger, APRN

  • Acute Care Nurse Practitioner
  • Sherwood, AR
National Provider Identifier
1407696123
Registry record updated Jan 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
120630 Issued in AR
Practice address
2215 Wildwood Ave
Sherwood, AR 72120-5089
Phone
(501) 552-7100
NPI assigned
May 30, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 120630 AR Primary

Addresses

Primary practice location

2215 Wildwood Ave
Sherwood, AR 72120-5089

Mailing address

399 Country Wood Rd
Quitman, AR 72131-9607
Phone (501) 306-5960

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
I20250423003128 AR Practitioner - Nurse Practitioner 7911423801 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prestige Spine Interventional Pain Management LLCGroup PAC ID 9931514320, 3 clinicians

Practice addresses (Care Compare)

2424 W Main St
Russellville, AR 72801-2531
Phone (501) 358-6791

650 United Dr
Suite 340
Conway, AR 72032-7803
Phone (501) 358-6791

650 United Dr
Suite 340
Conway, AR 72032-7826

Hospital & facility affiliations

  • Baptist Health Medical Center- Conway Hospital, Conway, AR, CCN 040154

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
120630ARMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Prestige Spine Interventional Pain Management, LLC CurrentSince Apr 21, 2025 Accepting new patients

Locations

650 United Dr
Ste 340
Conway, AR 72032
Phone (501) 328-6791

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JFICCD
  • FHIR API: https://fhir4.healow.com/fhir/r4/JFICCD/Endpoint/JFICCD

Organizations & group practices 1

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": "1717027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736121600000",
    "number": "1407696123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "399 COUNTRY WOOD RD",
            "city": "QUITMAN",
            "state": "AR",
            "postal_code": "721319607",
            "telephone_number": "501-306-5960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 WILDWOOD AVE",
            "city": "SHERWOOD",
            "state": "AR",
            "postal_code": "721205089",
            "telephone_number": "501-552-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARGER",
        "first_name": "TAYLOR",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-30",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AR",
            "license": "120630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherwood, AR

Sources for this page

Verify at the official NPI Registry.