Individual provider Active NPI

Niger Stice, PA-C

  • Physician Assistant
  • Mountain Home, AR
National Provider Identifier
1548500770
Registry record updated Oct 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA-516 Issued in AR
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

Updated by the provider on Oct 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, 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

Enrollment IDStateProvider typePAC IDDetails
I20130610000235 AR Practitioner - Physician Assistant 8022257724 Reassigns benefits to 4 organizations
I20260402001845 MO Practitioner - Physician Assistant 8022257724 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
PA-516ARMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Baxter County Regional Hospital, Inc CurrentSince Mar 23, 2026 Accepting new patients
Baxter County Regional Hospital, Inc CurrentSince Mar 23, 2026 Accepting new patients
Baxter County Regional Hospital, Inc CurrentSince May 1, 2019 Accepting new patients
Baxter County Regional Hospital, Inc CurrentSince May 1, 2019 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.