Individual provider Active NPI

Stephanie L Mallett, APRN

  • Family Nurse Practitioner
  • Harrison, AR
National Provider Identifier
1609185586
Registry record updated Feb 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A03447 Issued in AR
Practice address
520 N Pine St
Harrison, AR 72601-3442
Phone
(870) 741-0249
Fax
(870) 741-0383
NPI assigned
Sep 27, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X A03447 AR Primary

Addresses

Primary practice location

520 N Pine St
Harrison, AR 72601-3442

Mailing address

520 N Pine St Ste B
Harrison, AR 72601-3442
Phone (870) 741-0249

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address stephanie.mallett@nar.eclinicaldirectplus.com Direct

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
I20101122000716 AR Practitioner - Nurse Practitioner 6406042092 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ozark Physical Therapy Inc.Group PAC ID 1052400850, 44 clinicians

Practice addresses (Care Compare)

1401 Hwy 62 65 N
Suite 230
Harrison, AR 72601-1703
Phone (870) 414-5400

210 Rice St
Berryville, AR 72616-4388
Phone (870) 423-6789

520 N Pine St
Suite B
Harrison, AR 72601-3442
Phone (870) 741-0249

724 N Spring St
Suite a
Harrison, AR 72601-2913
Phone (870) 741-2500

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Arkansas Regional Medical Center CurrentSince Feb 18, 2015 Accepting new patients
North Arkansas Regional Medical Center Current Accepting new patients
North Arkansas Regional Medical Center CurrentSince Feb 18, 2015 Accepting new patients
North Arkansas Regional Medical Center Past Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

520 N Pine St
Ste B
Harrison, AR 72601
Phone (870) 741-0131

520 N Pine St
#B
Harrison, AR 72601

724 N Spring St
Harrison, AR 72601
Phone (870) 414-4000

620 N Main St
Harrison, AR 72601
Phone (870) 365-2000

724 N Spring St
Ste A
Harrison, AR 72601
Phone (870) 365-0850

520 N Pine St
Harrison, AR 72601
Phone (870) 414-4000

Interoperability endpoints

  • Direct secure messaging: stephanie.mallett@nar.eclinicaldirectplus.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 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": "1285545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708473600000",
    "number": "1609185586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 N PINE ST STE B",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "726013442",
            "telephone_number": "870-741-0249",
            "fax_number": "870-741-0383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 N PINE ST",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "726013442",
            "telephone_number": "870-741-0249",
            "fax_number": "870-741-0383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLETT",
        "first_name": "STEPHANIE",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-27",
        "last_updated": "2024-02-21",
        "certification_date": "2022-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A03447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "stephanie.mallett@nar.eclinicaldirectplus.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "520 N Pine St",
            "city": "Harrison",
            "state": "AR",
            "country_code": "US",
            "postal_code": "726013442",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Harrison, AR

Sources for this page

Verify at the official NPI Registry.