Individual provider Active NPI

Ellen Frances Cupit, P.A.

  • Medical Physician Assistant
  • Little Rock, AR
National Provider Identifier
1588806582
Registry record updated Jul 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA-371 Issued in AR
Practice address
11912 Kanis Rd
Suite F2
Little Rock, AR 72211-3733
Phone
(501) 227-8020
Fax
(501) 227-8826
NPI assigned
Apr 6, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA-371 AR Primary

Addresses

Primary practice location

11912 Kanis Rd
Suite F2
Little Rock, AR 72211-3733

Mailing address

11912 Kanis Rd
Ste F2
Little Rock, AR 72211-3733
Phone (501) 227-8020

Other names 1

  • Mrs. Ellen Frances Dixon Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100819000498 AR Practitioner - Physician Assistant 8325172802 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

10101 Mabelvale Plaza Dr
Suite 3
Little Rock, AR 72209-5932
Phone (501) 568-7868

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA-371ARMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
American Current Care of Arkansas, PA CurrentSince Aug 14, 2017 Accepting new patients

Locations

10101 Mabelvale Plaza Dr
Ste 3
Little Rock, AR 72209
Phone (501) 568-7868

5080 Spectrum Dr
Ste 1200W
Addison, TX 75001

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1238976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406592000000",
    "number": "1588806582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11912 KANIS RD",
            "address_2": "STE F2",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722113733",
            "telephone_number": "501-227-8020",
            "fax_number": "501-227-8826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11912 KANIS RD",
            "address_2": "SUITE F2",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722113733",
            "telephone_number": "501-227-8020",
            "fax_number": "501-227-8826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUPIT",
        "first_name": "ELLEN",
        "middle_name": "FRANCES",
        "name_prefix": "Mrs.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-06",
        "last_updated": "2014-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AR",
            "license": "PA-371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELLEN",
            "last_name": "DIXON",
            "middle_name": "FRANCES",
            "prefix": "MRS.",
            "credential": "MPAS, PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.