Active NPI
Stephen B. Nelson, M.D.
- Emergency Medicine Physician
- Fort Smith, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- C-6140
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100079750A | Medicaid | OK | |
| 102075001 | Medicaid | AR | |
| 53897 | Other | AR | BLUECROSS 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C-6140 | AR | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Clinic Fort Smith Communities | Current | Accepting new patients | |
| Mercy Hospital Ozark | Current | Accepting new patients | |
| Mercy Hospital Paris | Current | Accepting new patients | |
| Mercy Hospital Paris | Current | Accepting new patients | |
| Mercy Hospital Booneville | Current | Accepting new patients | |
| Mercy Hospital Waldron | Hospice and Palliative Medicine | Current | Accepting new patients |
| Mercy Hospital Booneville | Current | Accepting new patients | |
| Mercy Hospital Waldron | Current | Accepting new patients | |
| Mercy Hospital Ozark | Current | Accepting new patients | |
| Mercy Hospital Paris | Current | Accepting new patients | |
| Correct Care, Inc. | Emergency Medicine | Current | Accepting new patients |
| Mercy Hospital Waldron | Current | Accepting new patients | |
| Arkansas Emergency Staffing Solutions, Inc | Emergency Medicine | Current | Accepting new patients |
| Mercy Clinic Fort Smith Communities | Current | Accepting new patients | |
| Mercy Hospital Waldron | Hospice and Palliative Medicine | Current | 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
- snelson134334@directc.mercy.net
- 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.
-
- Emergency Medicine Physician
- Hope, AR
- NPI 1275774630
-
- Multi-Specialty Clinic/Center
- Fort Smith, AR
- NPI 1902073620
-
- Certified Registered Nurse Anesthetist
- Booneville, AR
- NPI 1083004733
-
- Critical Access Hospital
- Booneville, AR
- NPI 1992133714
-
- Critical Access Hospital
- Ozark, AR
- NPI 1275504128
-
- Emergency Care Clinic/Center
- Ozark, AR
- NPI 1881642767
-
- Emergency Care Clinic/Center
- Paris, AR
- NPI 1518915321
-
- Critical Access Hospital
- Paris, AR
- NPI 1760453633
-
- Clinic/Center
- Paris, AR
- NPI 1912955709
-
- Emergency Care Clinic/Center
- Waldron, AR
- NPI 1730137134
-
- Critical Access Hospital
- Waldron, AR
- NPI 1912978875
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.