Individual provider Active NPI

Presley Jo Phillips, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Alma, AR
National Provider Identifier
1477156719
Registry record updated Jan 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F11200307 Issued in AR
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, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201218000244 AR Practitioner - Nurse Practitioner 9133531056 Reassigns benefits to 2 organizations

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

LicenseStateTypeSpecialty
F11200307ARMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Urgent Team of Arkansas Physicians, LLC CurrentSince Jun 9, 2025 Accepting new patients
Baptist Health Regional Hospitals CurrentSince Feb 13, 2023 Accepting new patients
Urgent Team of Arkansas Physicians, LLC CurrentSince Jun 9, 2025 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.