Individual provider Active NPI

Rebecca Alexandra Shaffer, APRN

  • Family Nurse Practitioner
  • Little Rock, AR
National Provider Identifier
1487418125
Registry record updated Feb 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
227541 Issued in AR
Practice address
9500 Baptist Health Dr
Little Rock, AR 72205-6319
Phone
(501) 224-5500
Fax
(501) 224-1166
NPI assigned
Feb 13, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2024

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 227541 AR Primary

Addresses

Primary practice location

9500 Baptist Health Dr
Little Rock, AR 72205-6319

Mailing address

9500 Baptist Health Dr
Little Rock, AR 72205-6319
Phone (501) 224-5500

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
I20240415003501 AR Practitioner - Nurse Practitioner 8729427489 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Womens Healthcare of Arkansas PLLCGroup PAC ID 1658890595, 48 clinicians
Cornerstone Clinic for WomenGroup PAC ID 5092629352, 19 clinicians

Practice addresses (Care Compare)

9500 Baptist Health Dr
Suite 100
Little Rock, AR 72205-6340
Phone (501) 224-5500

Hospital & facility affiliations

  • Baptist Health Medical Center-Little Rock Hospital, Little Rock, AR, CCN 040114

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Clinic for Women CurrentSince Mar 4, 2024 Accepting new patients
Womens Healthcare of Arkansas PLLC CurrentSince Jun 1, 2025 Accepting new patients

Locations

11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215

1701 Aldersgate Rd
Ste 4
Little Rock, AR 72205
Phone (501) 224-5500

9500 Baptist Health Dr
Ste 100
Little Rock, AR 72205
Phone (501) 224-5500

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AIEJBD

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1707782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707782400000",
    "number": "1487418125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9500 BAPTIST HEALTH DR",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056319",
            "telephone_number": "501-224-5500",
            "fax_number": "501-224-1166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 BAPTIST HEALTH DR",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056319",
            "telephone_number": "501-224-5500",
            "fax_number": "501-224-1166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAFFER",
        "first_name": "REBECCA",
        "middle_name": "ALEXANDRA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-13",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "227541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.