Individual provider Active NPI

Virginia Layne Archer

  • Nurse Practitioner
  • Paragould, AR
National Provider Identifier
1447905682
Registry record updated Feb 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
218683 Issued in AR
Practice address
3169 Greene 625 Rd
Paragould, AR 72450-8505
Phone
(870) 930-8317
NPI assigned
Feb 16, 2022
Last updated
Feb 16, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 218683 AR Primary

Addresses

Primary practice location

3169 Greene 625 Rd
Paragould, AR 72450-8505

Mailing address

3169 Greene 625 Rd
Paragould, AR 72450-8505
Phone (870) 930-8317

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, MO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220421002012 AR Practitioner - Nurse Practitioner 2668869694 Reassigns benefits to 2 organizations
I20241113004036 MO Practitioner - Nurse Practitioner 2668869694 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Bernards Physician Clinics IncGroup PAC ID 7012311269, shared by 3 NPIs, 211 clinicians
Doctors Health Group, IncGroup PAC ID 7315844586, 23 clinicians

Practice addresses (Care Compare)

1312 1St St
Kennett, MO 63857-2526
Phone (573) 559-2780

333 Red Wolf Blvd
Jonesboro, AR 72405-9739
Phone (870) 972-8181

4000 Linwood Dr
Suite a
Paragould, AR 72450-7224
Phone (870) 239-8503

4000 Linwood Dr
Suite a
Paragould, AR 72450-8894

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Bernards Physician Clinics Inc CurrentSince Oct 1, 2024 Accepting new patients
St Bernards Physician Clinics, Inc. Current Accepting new patients
St Bernards Physician Clinics Inc CurrentSince May 1, 2023 Accepting new patients
Doctors Health Group, Inc CurrentSince Apr 15, 2022 Accepting new patients
St Bernards Physician Clinics Inc CurrentSince May 1, 2023 Accepting new patients

Locations

1001 W Parker Rd
Jonesboro, AR 72404
Phone (870) 336-1700

1005 E Matthews Ave
Jonesboro, AR 72401
Phone (870) 935-1242

333 Red Wolf Blvd
Jonesboro, AR 72405
Phone (870) 207-0405

4000 Linwood Dr
Ste A
Paragould, AR 72450
Phone (870) 239-8503

1312 1st St
Kennett, MO 63857
Phone (573) 559-2780

Interoperability endpoints

  • Direct secure messaging: varcher@sbpc.medalliesdirect.net

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1644969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644969600000",
    "number": "1447905682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3169 GREENE 625 RD",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724508505",
            "telephone_number": "870-930-8317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3169 GREENE 625 RD",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724508505",
            "telephone_number": "870-930-8317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARCHER",
        "first_name": "VIRGINIA",
        "middle_name": "LAYNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-16",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AR",
            "license": "218683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paragould, AR

Sources for this page

Verify at the official NPI Registry.