Individual provider Active NPI

Suzanne Bushong, APN

  • Family Nurse Practitioner
  • Paragould, AR
National Provider Identifier
1417929316
Registry record updated Feb 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A01023 Issued in AR
Practice address
160 Greene 721 Rd
Paragould, AR 72450-8995
Phone
(870) 242-3640
Fax
(877) 682-9964
NPI assigned
Feb 3, 2006
Last updated
Feb 27, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X A01023 AR Primary

Addresses

Primary practice location

160 Greene 721 Rd
Paragould, AR 72450-8995

Mailing address

160 Greene 721 Rd Apt D
Paragould, AR 72450-8933
Phone (870) 242-3640

Other identifiers 1

IdentifierTypeStateIssuer
139748758MedicaidAR

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
I20040115001073 AR Practitioner - Nurse Practitioner 5395646095 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Downhome Healthcare LLCGroup PAC ID 4587139548, 2 clinicians

Practice addresses (Care Compare)

160 Greene 721 Rd
Apt D
Paragould, AR 72450-8933
Phone (870) 242-3640

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A01023ARMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Prestige Care, PLLC CurrentSince Jun 1, 2025 Accepting new patients
Downhome Healthcare, LLC Family Current Accepting new patients
Harris Family Medicine, PLLC CurrentSince Jan 1, 2024 Accepting new patients
Prestige Care, PLLC CurrentSince May 12, 2025 Accepting new patients
Diffine Family Practice PLLC CurrentSince Aug 14, 2024 Accepting new patients
JPC Medical Inc Past Accepting new patients

Locations

1100 Medical Dr
Ste C
Blytheville, AR 72315
Phone (870) 824-2809

411 W Washington Ave
#B
Jonesboro, AR 72401
Phone (870) 275-4272

160 Greene 721 Rd
Paragould, AR 72450
Phone (870) 242-3640

160 Greene 721 Rd
Apt D
Paragould, AR 72450
Phone (870) 637-0319

630 W Court St
#B
Paragould, AR 72450
Phone (870) 236-6911

Interoperability endpoints

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

Organizations & group practices 6

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 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": "1138924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772150400000",
    "number": "1417929316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 GREENE 721 RD APT D",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724508933",
            "telephone_number": "870-242-3640",
            "fax_number": "877-682-9964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 GREENE 721 RD",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724508995",
            "telephone_number": "870-242-3640",
            "fax_number": "877-682-9964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSHONG",
        "first_name": "SUZANNE",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-03",
        "last_updated": "2026-02-27",
        "certification_date": "2026-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A01023",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "139748758",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paragould, AR

Sources for this page

Verify at the official NPI Registry.