Organization Active NPI

Nobulle Primary Care

  • Nurse Practitioner
  • El Dorado, AR
National Provider Identifier
1427947738
Registry record updated Jul 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
NOBULLE PRIMARY CARE
Practice address
1000 N College Ave
El Dorado, AR 71730-3711
Phone
(870) 881-8008
Fax
(870) 862-7374
NPI assigned
Jul 1, 2025
Last updated
Jul 18, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2025

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

Authorized official

Name
Amy Coonfield
Title
Billing Director
Phone
(501) 299-9591

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NU Primary

Addresses

Primary practice location

1000 N College Ave
El Dorado, AR 71730-3711

Mailing address

1000 N College Ave
El Dorado, AR 71730-3711
Phone (870) 881-8008

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250723000590 AR Part B Supplier - Clinic/Group Practice 6103332424 Receives reassigned benefits from 1 practitioner
Practice locations: El Dorado, AR

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
04D1103853Nobulle Primary Care1000 N College Ave, El Dorado, AR 71730Provider-performed microscopyAug 18, 2027

National Provider Directory

National Provider Directory

Locations

1000 N College Ave
El Dorado, AR 71730
Phone (870) 881-8008

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1751328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752796800000",
    "number": "1427947738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 N COLLEGE AVE",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "717303711",
            "telephone_number": "870-881-8008",
            "fax_number": "870-862-7374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 N COLLEGE AVE",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "717303711",
            "telephone_number": "870-881-8008",
            "fax_number": "870-862-7374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOBULLE PRIMARY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-01",
        "last_updated": "2025-07-18",
        "certification_date": "2025-07-18",
        "status": "A",
        "authorized_official_last_name": "COONFIELD",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "BILLING DIRECTOR",
        "authorized_official_telephone_number": "501-299-9591"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Dorado, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.