Active NPI
Presley Jo Phillips, MSN, APRN, FNP-C
- Family Nurse Practitioner
- Alma, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F11200307
- Practice address
- 937 Highway 64 E
Alma, AR 72921-7382 - Phone
- (479) 632-3855
- Fax
- (479) 632-0356
- NPI assigned
- Nov 19, 2020
- Last updated
- Jan 18, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F11200307 | AR | Primary |
Addresses
Primary practice location
937 Highway 64 E
Alma, AR 72921-7382
Mailing address
11001 Executive Center Dr Ste 200
Little Rock, AR 72211-4393
Phone (479) 632-3855
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: No
Enrollment records 1
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
Practice addresses (Care Compare)
402 W Main St
Cabot, AR 72023-2900
Phone (501) 628-9215
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F11200307 | AR | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Urgent Team of Arkansas Physicians, LLC | Current | Accepting new patients | |
| Baptist Health Regional Hospitals | Current | Accepting new patients | |
| Urgent Team of Arkansas Physicians, LLC | Current | Accepting new patients | |
| Icarepro of Texas, PA | Past | Accepting new patients |
Locations
937 Highway 64 E
Alma, AR 72921
Phone (479) 632-3855
402 W Main St
Cabot, AR 72023
Phone (501) 628-9215
7600 Rogers Ave
Fort Smith, AR 72903
Phone (479) 226-8340
11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215
511 W Main St
Russellville, AR 72801
Phone (479) 223-5130
Interoperability endpoints
- presley.phillips@200323676635140.direct.elationemr.com
Organizations & group practices 4
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.
-
- Rural Health Clinic/Center
- Searcy, AR
- NPI 1992041370
-
dba Baptist Health Family Clinic - Alma
- Rural Health Clinic/Center
- Alma, AR
- NPI 1811606254
-
- Rural Health Clinic/Center
- Batesville, AR
- NPI 1326730466
-
- Clinical Nurse Specialist
- Texarkana, TX
- NPI 1396193066
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674000000000",
"number": "1477156719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11001 EXECUTIVE CENTER DR STE 200",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722114393",
"telephone_number": "479-632-3855",
"fax_number": "479-632-0356"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "937 HIGHWAY 64 E",
"city": "ALMA",
"state": "AR",
"postal_code": "729217382",
"telephone_number": "479-632-3855",
"fax_number": "479-632-0356"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILLIPS",
"first_name": "PRESLEY",
"middle_name": "JO",
"credential": "MSN, APRN, FNP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-11-19",
"last_updated": "2023-01-18",
"certification_date": "2023-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AR",
"license": "F11200307",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alma, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2023; 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.