Individual provider Active NPI

Elisabeth Pagan

  • Family Nurse Practitioner
  • Fayetteville, AR
National Provider Identifier
1477411874
Registry record updated Jan 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
220460 Issued in AR
Practice address
2069 N Crossover Rd Unit 2
Fayetteville, AR 72703-4327
Phone
(479) 718-6470
NPI assigned
Jan 13, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2026

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 220460 AR Primary

Addresses

Primary practice location

2069 N Crossover Rd Unit 2
Fayetteville, AR 72703-4327

Mailing address

2069 N Crossover Rd Unit 2
Fayetteville, AR 72703-4327
Phone (479) 718-6470

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
I20260313002137 AR Practitioner - Nurse Practitioner 2163905563 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2069 N Crossover Rd
Suite 2
Fayetteville, AR 72703-4327
Phone (479) 718-6470

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
220460ARMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Urgent Team of Arkansas Physicians, LLC CurrentSince Feb 18, 2026 Accepting new patients
Urgent Team of Arkansas Physicians, LLC CurrentSince Feb 18, 2026 Accepting new patients

Locations

2069 N Crossover Rd
#2
Fayetteville, AR 72703
Phone (479) 718-6470

3300 W Sunset Ave
Springdale, AR 72762
Phone (479) 717-7089

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1768262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768262400000",
    "number": "1477411874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2069 N CROSSOVER RD UNIT 2",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727034327",
            "telephone_number": "479-718-6470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2069 N CROSSOVER RD UNIT 2",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727034327",
            "telephone_number": "479-718-6470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGAN",
        "first_name": "ELISABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-01-13",
        "last_updated": "2026-01-13",
        "certification_date": "2026-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "220460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, AR

Sources for this page

Verify at the official NPI Registry.