Cheryl Denise Rabalais

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

A003896 Issued in AR

Practice address

124 Ray Lochala Rd
Crossett, AR 71635-4542

Phone

(870) 364-0590

NPI assigned

Jun 21, 2013

Last updated

May 16, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

Specialty

Nurse Practitioner

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Crossett Health FoundationGroup PAC ID 9133030117, 23 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Acmc Family Home Health Home health agency, Crossett, AR, CCN 047109
• Ashley County Medical Center Hospital, Crossett, AR, CCN 041323

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cheryl.rabalais@chfdacmc.eclinicaldirectplus.com
• FHIR API: https://fhir4.healow.com/fhir/r4/GICHCD

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.

• Crossett Health Foundation

  dba Ashley Health Services

  • Pediatrics Physician
  • Crossett, AR
  • NPI 1174608012
  Medicare reassignment Care Compare group NPD
• Crossett Health Foundation

  dba Family Clinic of Ashley County

  • Rural Health Clinic/Center
  • Crossett, AR
  • NPI 1639159973
  NPD
• Crossett Health Foundation

  dba Hamburg Health Clinic

  • Rural Health Clinic/Center
  • Hamburg, AR
  • NPI 1093084808
  NPD (past)
• Crossett Health Foundation

  dba Ashley Family Clinic

  • Family Medicine Physician
  • Crossett, AR
  • NPI 1134680242
  NPD (past)
• Crossett Health Foundation

  dba Ashley County Medical Center

  • Medicare Defined Swing Bed Hospital Unit
  • Crossett, AR
  • NPI 1649443144
  NPD (past)
• Crossett Health Foundation

  dba Ashley County Medical Center

  • Critical Access Hospital
  • Crossett, AR
  • NPI 1952308215
  NPD (past)
• Hamburg Health Clinic LLP

  • Family Medicine Physician
  • Hamburg, AR
  • NPI 1588613798
  NPD (past)

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

• Arkansas Homecare of Forrest City, LLC

  dba ACMC Family Home Health

  • Home Health Agency
  • Crossett, AR
  • NPI 1821661299
  Care Compare affiliation
• Crossett Health Foundation

  dba Ashley County Medical Center

  • Critical Access Hospital
  • Crossett, AR
  • NPI 1952308215
  Care Compare affiliation

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

{
    "created_epoch": "1371772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684195200000",
    "number": "1598104689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "476 KELLEY RD",
            "city": "CROSSETT",
            "state": "AR",
            "postal_code": "716359186",
            "telephone_number": "870-304-2543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 RAY LOCHALA RD",
            "city": "CROSSETT",
            "state": "AR",
            "postal_code": "716354542",
            "telephone_number": "870-364-0590"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1003 Fred Lagrone Dr",
            "address_purpose": "LOCATION",
            "city": "Crossett",
            "state": "AR",
            "postal_code": "716354546",
            "country_code": "US",
            "telephone_number": "870-364-8034",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RABALAIS",
        "first_name": "CHERYL",
        "middle_name": "DENISE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-21",
        "last_updated": "2023-05-16",
        "certification_date": "2023-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A003896",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "199692758",
            "state": "AR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cheryl.rabalais@chfdacmc.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "124 Ray Lochala Rd",
            "city": "Crossett",
            "state": "AR",
            "country_code": "US",
            "postal_code": "716354542",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Crystal L Pippen, LPN
• Debra Pittman, LCSW
• Cynthia M Polk, LCSW
• Kristi Price, LPN
• Quality Health Services of South Arkansas LLC
• Gregory Rabalais, CRNA
• Rachel Neal Occupational Therapy LLC
• Candice Reed, M.S.,CCC-SLP
• Regenia Carter NP & Company Inc
• Renal Treatment Centers-Southeast LP (Ashley Dialysis)

• Family Nurse Practitioner in Crossett, AR
• Providers in Crossett, AR by specialty
• Family Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2023; 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.