NPIMap

Individual provider Active NPI

Amber Lea Clements-Fore, NP-C

  • Family Nurse Practitioner
  • Cave City, AR
National Provider Identifier
1437448008
Registry record updated Jun 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A03506ANP Issued in AR
Practice address
307 N Main St
Cave City, AR 72521-9700
Phone
(870) 283-5550
Fax
(870) 283-6222
NPI assigned
Apr 4, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2013

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 A03506ANP AR Primary

Addresses

Primary practice location

307 N Main St
Cave City, AR 72521-9700

Mailing address

307 N Main St
Cave City, AR 72521-9700
Phone (870) 283-5550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110427000227 AR Practitioner - Nurse Practitioner 0840475323 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fore Family Practice LLCGroup PAC ID 7416197918, 2 clinicians

Practice addresses (Care Compare)

307 N Main St
Cave City, AR 72521-9700
Phone (870) 283-5550

Hospital & facility affiliations

  • Elite Home Health Home health agency, Salem, AR, CCN 047115
  • Adoration Home Health Home health agency, Batesville, AR, CCN 047080
  • White River Medical Center Hospital, Batesville, AR, CCN 040119
  • Baxter Health Hospital, Mountain Home, AR, CCN 040027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A03506ANPARMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fore Family Practice LLC CurrentSince May 24, 2013 Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

307 N Main St
Cave City, AR 72521
Phone (870) 283-5550

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/7296/brand/1/csg/1/fhir/r4

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Fore Family Practice LLCCave City, AR, CCN 043875 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
W-2 Managing Employee (100%)		 May 24, 2013
May 24, 2013

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 2

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 20

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1301875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372291200000",
    "number": "1437448008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 N MAIN ST",
            "city": "CAVE CITY",
            "state": "AR",
            "postal_code": "725219700",
            "telephone_number": "870-283-5550",
            "fax_number": "870-283-6222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 N MAIN ST",
            "city": "CAVE CITY",
            "state": "AR",
            "postal_code": "725219700",
            "telephone_number": "870-283-5550",
            "fax_number": "870-283-6222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEMENTS-FORE",
        "first_name": "AMBER",
        "middle_name": "LEA",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-04",
        "last_updated": "2013-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A03506ANP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cave City, AR

Sources for this page

Verify at the official NPI Registry.