Caitlin Abiseid Shull, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

A005223 Issued in AR

Practice address

194 Shake Rag Rd
Clinton, AR 72031

Phone

(501) 745-2800

Fax

(501) 745-8864

NPI assigned

Sep 26, 2017

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

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Family Practice CenterGroup PAC ID 2365706504, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ozark Health Hospital, Clinton, AR, CCN 041313

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

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

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.

• Family Practice Center

  • Primary Care Clinic/Center
  • Clinton, AR
  • NPI 1013108240
  Medicare reassignment Care Compare group NPD

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

• Ozark Health, Inc

  • Critical Access Hospital
  • Clinton, AR
  • NPI 1992760342
  Care Compare affiliation

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

{
    "created_epoch": "1506384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530576000000",
    "number": "1437668175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1100",
            "city": "CLINTON",
            "state": "AR",
            "postal_code": "720311100",
            "telephone_number": "501-745-2800",
            "fax_number": "501-745-8864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "194 SHAKE RAG RD",
            "city": "CLINTON",
            "state": "AR",
            "postal_code": "72031",
            "telephone_number": "501-745-2800",
            "fax_number": "501-745-8864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHULL",
        "first_name": "CAITLIN",
        "middle_name": "ABISEID",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-26",
        "last_updated": "2018-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A005223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayla Seaton
• Shane E. Ford OD PA
• Amy Shaw, LAC
• Tommy W Shaw, PD
• Kimberly Sherrell, DPT
• Jaime Shull
• Tandra Shull
• Judith A Smith, RECOVERY ASSISTANT
• Laura Smith, RECOVERY ASSISTANT
• Sharon Smith, SCP RECOVERY ASST.

• Family Nurse Practitioner in Clinton, AR
• Providers in Clinton, AR by specialty
• Family Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2018; 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.
• 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.