Active NPI
Amanda Nicole Tollett, WHNP-BC, FNP-C
- Family Nurse Practitioner
- Harrison, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 124464
- Practice address
- 306 N Chestnut St
Harrison, AR 72601-4453 - Phone
- (870) 741-8559
- NPI assigned
- May 17, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | 124464 | AR | |
| Family Nurse Practitioner | 363LF0000X | 124464 | AR | Primary |
Addresses
Primary practice location
306 N Chestnut St
Harrison, AR 72601-4453
Mailing address
306 N Chestnut St
Harrison, AR 72601-4453
Phone (870) 741-8559
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240401003113 | AR | Practitioner - Nurse Practitioner | 4183062847 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
306 N Chestnut St
Harrison, AR 72601-4453
Phone (870) 741-8559
Hospital & facility affiliations
- Baxter Health
- North Arkansas Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 124464 | AR | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McClintock Family Medicine | Current | Accepting new patients | |
| Baxter County Regional Hospital, Inc | Current | Accepting new patients | |
| Baxter County Regional Hospital, Inc | Current | Accepting new patients | |
| State of Arkansas | Past | Accepting new patients |
Locations
306 N Chestnut St
Harrison, AR 72601
Phone (870) 701-5051
624 Hospital Dr
Mountain Home, AR 72653
Phone (870) 424-1000
414 W Old Main St
Yellville, AR 72687
Phone (870) 424-1000
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/CAJIAA
Organizations & group practices 5
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.
-
- Rural Health Clinic/Center
- Melbourne, AR
- NPI 1336947167
-
- Interventional Pain Medicine Physician
- Mountain Home, AR
- NPI 1811859606
-
- Home Health Agency
- Berryville, AR
- NPI 1376553404
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Mountain Home, AR
- NPI 1033147921
Hospital
-
- General Acute Care Hospital
- Mountain Home, AR
- NPI 1881788933
Hospital
-
- General Acute Care Hospital
- Harrison, AR
- NPI 1275523912
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783555200000",
"number": "1497329247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "306 N CHESTNUT ST",
"city": "HARRISON",
"state": "AR",
"postal_code": "726014453",
"telephone_number": "870-741-8559"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "306 N CHESTNUT ST",
"city": "HARRISON",
"state": "AR",
"postal_code": "726014453",
"telephone_number": "870-741-8559"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOLLETT",
"first_name": "AMANDA",
"middle_name": "NICOLE",
"credential": "WHNP-BC, FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-17",
"last_updated": "2026-07-09",
"certification_date": "2026-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "AR",
"license": "124464",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AR",
"license": "124464",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Harrison, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2026; 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.