Michelle Lynn Marcak, APRN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

216939 Issued in AR

Practice address

624 Hospital Dr
6 South
Mountain Home, AR 72653-2955

Phone

(870) 508-7820

NPI assigned

Jul 19, 2021

Last updated

Mar 5, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR, MO2 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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Douglas County Public Health Services Group, Inc.Group PAC ID 3072423052, 25 clinicians

Baxter County Regional Hospital IncGroup PAC ID 0042389264, 75 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baxter Health Hospital, Mountain Home, AR, CCN 040027

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Douglas County Public Health Services Group, Inc.

  dba Missouri Ozarks Community Health

  • Federally Qualified Health Center (FQHC)
  • Mansfield, MO
  • NPI 1912904004
  Medicare reassignment Care Compare group NPD
• Baxter County Regional Hospital, Inc.

  dba Baxter Health Family Clinic

  • Family Medicine Physician
  • Mountain Home, AR
  • NPI 1851725139
  Medicare reassignment Care Compare group
• Douglas County Public Health Services Group, Inc.

  dba Missouri Ozarks Community Health

  • Federally Qualified Health Center (FQHC)
  • Ava, MO
  • NPI 1912904145
  NPD

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

• Baxter County Regional Hospital Inc

  dba BRMC Professional Fees

  • General Acute Care Hospital
  • Mountain Home, AR
  • NPI 1033147921
  Care Compare affiliation
• Baxter County Regional Hospital, Inc

  dba Baxter Health

  • General Acute Care Hospital
  • Mountain Home, AR
  • NPI 1881788933
  Care Compare affiliation

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

{
    "created_epoch": "1626652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709596800000",
    "number": "1508439456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 958539",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631958539",
            "telephone_number": "870-508-7820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 HOSPITAL DR",
            "address_2": "6 SOUTH",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726532955",
            "telephone_number": "870-508-7820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCAK",
        "first_name": "MICHELLE",
        "middle_name": "LYNN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-19",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AR",
            "license": "216939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Joseph Maguire, PHARM.D.
• Amorie Majors, APRN
• Brian Imbao Malte, M.D.
• Helen L Mansfield
• Maysa Linn Mansfield
• Greg Mardis
• Mark S King, MD, PA (King Dermatology)
• Jeanne Marotta, CNP
• Lyndsey Marriott
• Megan Nicole Martin

• Psychiatric/Mental Health Nurse Practitioner in Mountain Home, AR
• Providers in Mountain Home, AR by specialty
• Psychiatric/Mental Health Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2024; 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.

Verify at the official NPI Registry.