Active NPI
Niger Stice, PA-C
- Physician Assistant
- Mountain Home, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA-516
- Practice address
- 17 Medical Plaza
Mountain Home, AR 72653-2918 - Phone
- (870) 425-6235
- Fax
- (870) 424-3774
- NPI assigned
- Feb 25, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA-516 | AR | Primary |
Addresses
Primary practice location
17 Medical Plaza
Mountain Home, AR 72653-2918
Mailing address
17 Medical Plaza
Mountain Home, AR 72653-2918
Phone (870) 425-6235
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR, MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
114 E Crandall Ave
Suite a
Harrison, AR 72601-3628
Phone (870) 365-0130
1402 N Kentucky Ave
Interventional Pain Management
West Plains, MO 65775-1852
Phone (870) 508-5907
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA-516 | AR | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baxter County Regional Hospital, Inc | Current | Accepting new patients | |
| Baxter County Regional Hospital, Inc | Current | Accepting new patients | |
| Baxter County Regional Hospital, Inc | Current | Accepting new patients | |
| Baxter County Regional Hospital, Inc | Current | Accepting new patients | |
| Ozarks Medical Center | Past | Accepting new patients |
Locations
114 E Crandall Ave
#A
Harrison, AR 72601
Phone (870) 365-0003
624 Hospital Dr
Mountain Home, AR 72653
Phone (870) 424-1000
17 Medical Plz
Ste 2
Mountain Home, AR 72653
Phone (870) 508-5900
17 Medical Plz
Mountain Home, AR 72653
Phone (870) 425-6212
1402 N Kentucky Ave
West Plains, MO 65775
Phone (417) 256-3717
Organizations & group practices 8
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.
-
dba Interventional Pain Management
- Pain Clinic/Center
- Harrison, AR
- NPI 1720430309
MO
-
dba Baxter Health Internal Medicine & Infectious Disease Clinic
- Internal Medicine Physician
- Mountain Home, AR
- NPI 1982273512
-
- Interventional Pain Medicine Physician
- Mountain Home, AR
- NPI 1902231178
-
dba Baxter Health Nephrology Clinic
- Nephrology Physician
- Mountain Home, AR
- NPI 1306610761
-
dba Baxter Health College Street Family Clinic
- Family Medicine Physician
- Mountain Home, AR
- NPI 1316777329
-
dba Baxter Health Pain Clinic
- Interventional Pain Medicine Physician
- Mountain Home, AR
- NPI 1811859606
-
dba Ozarks Healthcare
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba BRMC Professional Fees
- General Acute Care Hospital
- Mountain Home, AR
- NPI 1033147921
-
dba Baxter Health
- General Acute Care Hospital
- Mountain Home, AR
- NPI 1881788933
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1361750400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666915200000",
"number": "1548500770",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 MEDICAL PLAZA",
"city": "MOUNTAIN HOME",
"state": "AR",
"postal_code": "726532918",
"telephone_number": "870-425-6235",
"fax_number": "870-424-3774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 MEDICAL PLAZA",
"city": "MOUNTAIN HOME",
"state": "AR",
"postal_code": "726532918",
"telephone_number": "870-425-6235",
"fax_number": "870-424-3774"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STICE",
"first_name": "NIGER",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-02-25",
"last_updated": "2022-10-28",
"certification_date": "2022-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AR",
"license": "PA-516",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mountain Home, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2022; 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.