Individual provider Active NPI

Stephannie Cawiezell

  • Family Nurse Practitioner
  • Dardanelle, AR
National Provider Identifier
1487020855
Registry record updated May 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A004502 Issued in AR
Practice address
200 N 3Rd St Ste 1
Dardanelle, AR 72834-3802
Phone
(479) 229-6191
Fax
(479) 229-6194
NPI assigned
Aug 19, 2015
Last updated
May 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 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 A004502 AR Primary

Addresses

Primary practice location

200 N 3Rd St Ste 1
Dardanelle, AR 72834-3802

Mailing address

PO Box 9662
Conway, AR 72033-9662
Phone (501) 852-1363

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
I20160112002239 AR Practitioner - Nurse Practitioner 6002118767 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
33.64 of 100Reported as group
Quality
0
Promoting interoperability
97
Improvement activities
0

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A004502ARMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dardanelle Regional, LLC CurrentSince Nov 1, 2025 Accepting new patients
Dardanelle Regional, LLC CurrentSince Nov 1, 2025 Accepting new patients

Locations

200 N 3rd St
Dardanelle, AR 72834
Phone (479) 229-2827

200 N 3rd St
Ste 1
Dardanelle, AR 72834
Phone (479) 229-6191

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": "1439942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780012800000",
    "number": "1487020855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9662",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720339662",
            "telephone_number": "501-852-1363",
            "fax_number": "501-852-1364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N 3RD ST STE 1",
            "city": "DARDANELLE",
            "state": "AR",
            "postal_code": "728343802",
            "telephone_number": "479-229-6191",
            "fax_number": "479-229-6194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAWIEZELL",
        "first_name": "STEPHANNIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-19",
        "last_updated": "2026-05-29",
        "certification_date": "2026-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A004502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dardanelle, AR

Sources for this page

Verify at the official NPI Registry.