Active NPI
Annie Rose Conway, APRN
- Family Nurse Practitioner
- Fort Smith, AR
National Provider Identifier
1477209401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- TEMP219160
- Practice address
- 9001 Jenny Lind Rd Ste 3
Fort Smith, AR 72908-8629 - Phone
- (479) 385-9001
- Fax
- (479) 289-5441
- NPI assigned
- Feb 28, 2022
- Sex
- Female
- Sole proprietor
- No
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 | TEMP219160 | AR | Primary |
Addresses
Primary practice location
9001 Jenny Lind Rd Ste 3
Fort Smith, AR 72908-8629
Mailing address
9001 Jenny Lind Rd Ste 3
Fort Smith, AR 72908-8629
Phone (479) 385-9001
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, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9001 Jenny Lind Rd
Suite 3
Fort Smith, AR 72908-8629
Phone (479) 385-9001
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TEMP219160 | AR | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fianna Hills Surgery Center Inc | Past | Accepting new patients |
Interoperability endpoints
- annie.conway@3100.securemail.prognocis.com
Organizations & group practices 2
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.
-
- Ambulatory Surgical Clinic/Center
- Fort Smith, AR
- NPI 1083206866
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646006400000",
"number": "1477209401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9001 JENNY LIND RD STE 3",
"city": "FORT SMITH",
"state": "AR",
"postal_code": "729088629",
"telephone_number": "479-385-9001",
"fax_number": "479-289-5441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9001 JENNY LIND RD STE 3",
"city": "FORT SMITH",
"state": "AR",
"postal_code": "729088629",
"telephone_number": "479-385-9001",
"fax_number": "479-289-5441"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONWAY",
"first_name": "ANNIE",
"middle_name": "ROSE",
"name_prefix": "Mrs.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-02-28",
"last_updated": "2022-02-28",
"certification_date": "2022-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AR",
"license": "TEMP219160",
"primary": true
}
],
"identifiers": [],
"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 28, 2022; 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.