Active NPI
Brandon Dale Womack, APRN
- Family Nurse Practitioner
- Cherokee Village, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 214705
- Practice address
- 195 Hospital Dr Ste a
Cherokee Village, AR 72529-7330 - Phone
- (870) 257-6060
- NPI assigned
- Aug 5, 2021
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 214705 | AR | Primary |
Addresses
Primary practice location
195 Hospital Dr Ste a
Cherokee Village, AR 72529-7330
Mailing address
PO Box 39
Franklin, AR 72536-0039
Phone (870) 373-2209
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 |
|---|---|---|---|---|
| I20210907002156 | AR | Practitioner - Nurse Practitioner | 2567868136 | Reassigns benefits to 6 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- White River Health System, Inc.
Practice addresses (Care Compare)
1217 Batesville Blvd
Southside, AR 72501-8912
Phone (870) 262-2800
195 Hospital Dr
Cherokee Village, AR 72529-7314
58 E River Dr
White River Health Family Care
Strawberry, AR 72469-8016
Phone (870) 528-4081
Hospital & facility affiliations
- Elite Home Health
- Adoration Home Health
- White River Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 214705 | AR | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| White River Health System, Inc | Current | Accepting new patients | |
| White River Health System, Inc. | Current | Accepting new patients | |
| White River Health System, Inc. | Current | Accepting new patients | |
| White River Health System Inc | Current | Accepting new patients | |
| White River Health System, Inc. | Current | Accepting new patients | |
| White River Health System, Inc. | Current | Accepting new patients |
Locations
16 Hospital Cir
Ste A
Batesville, AR 72501
Phone (870) 269-4361
195 Hospital Dr
Ste A
Cherokee Village, AR 72529
Phone (870) 257-6000
195 Hospital Dr
Ste B
Cherokee Vlg, AR 72529
Phone (870) 257-6000
105 Case Commons Dr
Mountain View, AR 72560
Phone (870) 269-4144
501 Vine St
Newark, AR 72562
Phone (870) 799-3299
2200 Malcolm Ave
Ste B
Newport, AR 72112
Phone (870) 512-2500
Interoperability endpoints
- brandon.womack.1@13831.direct.athenahealth.com
Organizations & group practices 6
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 18
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Batesville, AR
- NPI 1821040312
-
- Home Health Agency
- Salem, AR
- NPI 1295852366
-
- Orthopaedic Surgery Physician
- Batesville, AR
- NPI 1265821193
Hospital
-
- Pain Medicine (Anesthesiology) Physician
- Batesville, AR
- NPI 1558447599
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628121600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704240000000",
"number": "1558035121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 39",
"city": "FRANKLIN",
"state": "AR",
"postal_code": "725360039",
"telephone_number": "870-373-2209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "195 HOSPITAL DR STE A",
"city": "CHEROKEE VILLAGE",
"state": "AR",
"postal_code": "725297330",
"telephone_number": "870-257-6060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOMACK",
"first_name": "BRANDON",
"middle_name": "DALE",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-08-05",
"last_updated": "2024-01-03",
"certification_date": "2024-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AR",
"license": "214705",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cherokee Village, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 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.