Active NPI
Sandra Lee Marcy, ANP
- Nurse Practitioner
- Deer, AR
National Provider Identifier
1437154572
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- A01436
- Practice address
- 1 Highway 16
Deer, AR 72628 - Phone
- (780) 428-5391
- Fax
- (870) 428-5391
- NPI assigned
- Jun 16, 2005
- Last updated
- Oct 18, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | A01436 | AR | Primary |
| Nurse Practitioner | 363L00000X | NP782A | ID |
Addresses
Primary practice location
1 Highway 16
Deer, AR 72628
Mailing address
PO Box 130
Deer, AR 72628-0130
Phone (870) 428-5391
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NPYH4 | Other | ID | BLUE CROSS OF ID |
| 043634356 | Other | ID | BRCHC TAX ID |
| 000010142695 | Other | ID | REGENCE OF ID GROUP |
| 806590100 | Medicaid | ID | |
| 000010160675 | Other | ID | REGENCE OF ID |
| 8H104 | Other | ID | BLUE CROSS OF ID GROUP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP782A | ID | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1792281600000",
"number": "1437154572",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 130",
"city": "DEER",
"state": "AR",
"postal_code": "726280130",
"telephone_number": "870-428-5391",
"fax_number": "870-428-5391"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 HIGHWAY 16",
"city": "DEER",
"state": "AR",
"postal_code": "72628",
"telephone_number": "780-428-5391",
"fax_number": "870-428-5391"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARCY",
"first_name": "SANDRA",
"middle_name": "LEE",
"credential": "ANP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-16",
"last_updated": "2026-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "AR",
"license": "A01436",
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "ID",
"license": "NP782A",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF ID",
"identifier": "NPYH4",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BRCHC TAX ID",
"identifier": "043634356",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE OF ID GROUP",
"identifier": "000010142695",
"state": "ID"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "806590100",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE OF ID",
"identifier": "000010160675",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF ID GROUP",
"identifier": "8H104",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}Other providers in Deer, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.