Betty Jo Sammer, ARNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

A03473 Issued in AR

Practice address

600 Memorial Dr
Bella Vista, AR 72714-1847

Phone

(479) 855-6164

Fax

(479) 855-2831

NPI assigned

May 16, 2006

Last updated

Sep 3, 2014By the provider in NPPES

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  AR, Nurse Practitioner

  Medicare reassignment NPD
• New Tradition Clinic LLC

  • Clinic/Center
  • Broken Arrow, OK
  • NPI 1669405437
  NPD (past)

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409702400000",
    "number": "1427000645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 MEMORIAL DR",
            "city": "BELLA VISTA",
            "state": "AR",
            "postal_code": "727141847",
            "telephone_number": "479-855-6164",
            "fax_number": "479-855-2831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 MEMORIAL DR",
            "city": "BELLA VISTA",
            "state": "AR",
            "postal_code": "727141847",
            "telephone_number": "479-855-6164",
            "fax_number": "479-855-2831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMMER",
        "first_name": "BETTY",
        "middle_name": "JO",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-16",
        "last_updated": "2014-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AR",
            "license": "A03473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cara L. Riley, DO
• Robin Renee Ritter, RPH
• River Dental Bella Vista PLLC
• Ralawnda Ruth Rodriguez, PTA
• Lezle Church Rupert, M.S., CCC-SLP
• Michael Dallas Sammer, MD
• Robert V Sanders III, MD
• Maggi Lenee Scroggins, PA-C
• Nelson Andrew Seal, APN
• Kristy Sellers, PT

• Nurse Practitioner in Bella Vista, AR
• Providers in Bella Vista, AR by specialty
• Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.