Individual provider Active NPI

Meaghan Hainzer, CRNP

  • Family Nurse Practitioner
  • Jacksonville, AR
National Provider Identifier
1497438196
Registry record updated Jul 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
228149 Issued in AR
Practice address
1813 T P White Dr
Jacksonville, AR 72076-2850
Phone
(501) 241-4510
NPI assigned
Aug 9, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 228149 AR Primary
Family Nurse Practitioner 363LF0000X SP027228 PA

Addresses

Primary practice location

1813 T P White Dr
Jacksonville, AR 72076-2850

Mailing address

57 Willow LK
Ward, AR 72176-9517
Phone (814) 233-1266

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, ME2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240612003086 AR Practitioner - Nurse Practitioner 3476095886 Reassigns benefits to 1 organization
I20260408004092 ME Practitioner - Nurse Practitioner 3476095886 Reassigns benefits to 1 organization

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
The Aroostook Medical CenterGroup PAC ID 1153233663, 117 clinicians
Urgent Team of Arkansas Physicians LLCGroup PAC ID 1850539198, 155 clinicians

Practice addresses (Care Compare)

118 Bennett Dr
Suite 150
Caribou, ME 04736-2062
Phone (207) 498-3502

140 Academy St
Presque Isle, ME 04769-3102

146 Academy St
Presque Isle, ME 04769-3102

1813 T P White Dr
Jacksonville, AR 72076-2850
Phone (501) 241-4510

Hospital & facility affiliations

  • Northern Light a R Gould Hospital Hospital, Presque Isle, ME, CCN 200018

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP027228PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Windber Hospital, Inc. Past Accepting new patients

Organizations & group practices 3

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": "1691539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722038400000",
    "number": "1497438196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 WILLOW LK",
            "city": "WARD",
            "state": "AR",
            "postal_code": "721769517",
            "telephone_number": "814-233-1266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1813 T P WHITE DR",
            "city": "JACKSONVILLE",
            "state": "AR",
            "postal_code": "720762850",
            "telephone_number": "501-241-4510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAINZER",
        "first_name": "MEAGHAN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-09",
        "last_updated": "2024-07-27",
        "certification_date": "2024-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "228149",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP027228",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, AR

Sources for this page

Verify at the official NPI Registry.