Active NPI
Sherry G McIntosh, APRN
- Adult Health Nurse Practitioner
- North Little Rock, AR
National Provider Identifier
1609235878
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- A004666
- Practice address
- 308 Smokey LN
North Little Rock, AR 72117-2508 - Phone
- (501) 771-2799
- Fax
- (501) 758-6215
- NPI assigned
- Feb 17, 2016
- Last updated
- Feb 13, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | A004666 | AR | Primary |
| Gerontology Nurse Practitioner | 363LG0600X | A004666 | AR |
Addresses
Primary practice location
308 Smokey LN
North Little Rock, AR 72117-2508
Mailing address
308 Smokey LN
North Little Rock, AR 72117-2508
Phone (501) 771-2799
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 212623758 | Medicaid | AR |
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
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 96.56 of 100
- Quality
- 96.67
- Improvement activities
- 40
- Cost
- 82.03
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A004666 | AR | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arkansas Pain Centers LTD | Current | Accepting new patients | |
| Arkansas Pain Centers, LTD | Current | Accepting new patients | |
| Venvisor Health of Ar PA | Current | Accepting new patients | |
| Physicians Medical Group PLC | Past | Accepting new patients |
Locations
1202 NE McClain Rd
Bentonville, AR 72712
Phone (855) 632-6940
308 Smokey Ln
North Little Rock, AR 72117
Phone (501) 255-2512
Organizations & group practices 4
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.
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- N Little Rock, AR
- NPI 1811984099
-
- Nurse Practitioner
- Bentonville, AR
- NPI 1992553028
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Little Rock, AR
- NPI 1548896798
-
dba Starnes Family Clinic
- Rural Health Clinic/Center
- Clinton, AR
- NPI 1942226212
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1455667200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707782400000",
"number": "1609235878",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "308 SMOKEY LN",
"city": "NORTH LITTLE ROCK",
"state": "AR",
"postal_code": "721172508",
"telephone_number": "501-771-2799",
"fax_number": "501-758-6215"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "308 SMOKEY LN",
"city": "NORTH LITTLE ROCK",
"state": "AR",
"postal_code": "721172508",
"telephone_number": "501-771-2799",
"fax_number": "501-758-6215"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCINTOSH",
"first_name": "SHERRY",
"middle_name": "G",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-02-17",
"last_updated": "2024-02-13",
"certification_date": "2024-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "AR",
"license": "A004666",
"primary": true
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "AR",
"license": "A004666",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "212623758",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in North Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.