Individual provider Active NPI

Stephen B. Nelson, M.D.

  • Emergency Medicine Physician
  • Fort Smith, AR
National Provider Identifier
1447239702
Registry record updated Feb 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
C-6140 Issued in AR
Practice address
7301 Rogers Ave
Fort Smith, AR 72903-4100
Phone
(479) 314-6248
Fax
(479) 314-6159
NPI assigned
Jan 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X C-6140 AR Primary
Hospice and Palliative Medicine (Family Medicine) Physician 207QH0002X C-6140 AR

Addresses

Primary practice location

7301 Rogers Ave
Fort Smith, AR 72903-4100

Mailing address

3214 Butterfield Est
Van Buren, AR 72956-8810
Phone (479) 926-1616

Other identifiers 3

IdentifierTypeStateIssuer
100079750AMedicaidOK
102075001MedicaidAR
53897OtherARBLUECROSS BLUESHIELD

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031104000426 AR Practitioner - Emergency MedicinePractitioner - Family Practice 0345152666 Reassigns benefits to 12 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C-6140ARMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Fort Smith Communities CurrentSince Jul 1, 2008 Accepting new patients
Mercy Hospital Ozark CurrentSince Apr 21, 2010 Accepting new patients
Mercy Hospital Paris CurrentSince Apr 21, 2010 Accepting new patients
Mercy Hospital Paris CurrentSince Aug 22, 2018 Accepting new patients
Mercy Hospital Booneville CurrentSince Jun 11, 2019 Accepting new patients
Mercy Hospital Waldron Hospice and Palliative Medicine CurrentSince Apr 21, 2010 Accepting new patients
Mercy Hospital Booneville CurrentSince Jun 11, 2019 Accepting new patients
Mercy Hospital Waldron Current Accepting new patients
Mercy Hospital Ozark CurrentSince Apr 21, 2010 Accepting new patients
Mercy Hospital Paris CurrentSince Apr 21, 2010 Accepting new patients
Correct Care, Inc. Emergency Medicine CurrentSince Mar 15, 2023 Accepting new patients
Mercy Hospital Waldron Current Accepting new patients
Arkansas Emergency Staffing Solutions, Inc Emergency Medicine CurrentSince Nov 18, 2019 Accepting new patients
Mercy Clinic Fort Smith Communities CurrentSince Jul 1, 2008 Accepting new patients
Mercy Hospital Waldron Hospice and Palliative Medicine CurrentSince Apr 21, 2010 Accepting new patients
St Edward Medical Services, Inc. Past Accepting new patients
Nes Western Arkansas, Inc Past Accepting new patients
Van Buren Hma Inc Past Accepting new patients
St. Edward Mercy Medical Center Past Accepting new patients
Nes Arkansas, Inc. Emergency Medicine Past Accepting new patients
Mercy Hospital Fort Smith Past Accepting new patients

Locations

451 W Locke St
Ashdown, AR 71822
Phone (870) 265-5351

214 Carter St
Berryville, AR 72616
Phone (870) 423-3355

880 W Main St
Booneville, AR 72927
Phone (479) 675-2800

128 Daniel Dr
Booneville, AR 72927
Phone (479) 675-2455

1015 Unity Rd
Crossett, AR 71635
Phone (870) 364-0590

1306 W Collin Raye Dr
De Queen, AR 71832
Phone (870) 584-4111

7001 Rogers Ave
Ste 200
Fort Smith, AR 72903
Phone (479) 314-4620

5501 Euper Ln
Fort Smith, AR 72903
Phone (479) 314-6000

7301 Rogers Ave
Fort Smith, AR 72903
Phone (479) 314-4600

801 W River St
Ozark, AR 72949
Phone (479) 667-4138

500 E Academy St
Paris, AR 72855
Phone (479) 963-6101

1341 W 6th St
Waldron, AR 72958
Phone (479) 637-2136

229 Saint John Ln
Covington, LA 70433
Phone (866) 875-9225

Interoperability endpoints

  • Direct secure messaging: snelson134334@directc.mercy.net
  • Direct secure messaging: stephen.nelson.1@14285.direct.athenahealth.com

Organizations & group practices 21

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.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1137110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582761600000",
    "number": "1447239702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3214 BUTTERFIELD EST",
            "city": "VAN BUREN",
            "state": "AR",
            "postal_code": "729568810",
            "telephone_number": "479-926-1616",
            "fax_number": "479-262-6677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7301 ROGERS AVE",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729034100",
            "telephone_number": "479-314-6248",
            "fax_number": "479-314-6159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "STEPHEN",
        "middle_name": "B.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-13",
        "last_updated": "2020-02-27",
        "certification_date": "2020-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AR",
            "license": "C-6140",
            "primary": true
        },
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "AR",
            "license": "C-6140",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100079750A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102075001",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "53897",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Smith, AR

Sources for this page

Verify at the official NPI Registry.