NPIMap

Individual provider Active NPI

Kasey Dawn Sutterfield, APRN, FNP

  • Family Nurse Practitioner
  • Batesville, AR
National Provider Identifier
1609436096
Registry record updated Jul 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
121431 Issued in AR
Practice address
1700 Harrison St Ste T
Batesville, AR 72501-7315
Phone
(870) 262-6155
Fax
(870) 262-6512
NPI assigned
Jun 18, 2019
Last updated
Jul 11, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 121431 AR Primary
Family Nurse Practitioner 363LF0000X F06192323 AR
Student in an Organized Health Care Education/Training Program 390200000X NU

Addresses

Primary practice location

1700 Harrison St Ste T
Batesville, AR 72501-7315

Mailing address

1700 Harrison St Ste T
Batesville, AR 72501-7315
Phone (870) 262-6155

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190814002171 AR Practitioner - Nurse Practitioner 8224365234 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2902 Mid Cities Dr
Bentonville, AR 72712-4020
Phone (844) 215-0731

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
121431ARMDFamily Nurse Practitioner
F06192323ARMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
White River Health System, Inc. CurrentSince Jul 11, 2019 Accepting new patients
Pain Treatment Centers of America PLLC CurrentSince Jul 1, 2024 Accepting new patients
Pain Treatment Centers of America, PLLC CurrentSince Jul 1, 2024 Accepting new patients
White River Health System, Inc. CurrentSince Jul 11, 2019 Accepting new patients
Pain Treatment Centers of America, PLLC Past Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

1215 Sidney St
Batesville, AR 72501
Phone (870) 262-1541

16 Hospital Cir
Ste A
Batesville, AR 72501
Phone (870) 269-4361

1700 Harrison St
Ste T
Batesville, AR 72501
Phone (870) 262-3280

1710 Harrison St
Batesville, AR 72501
Phone (870) 262-1240

2902 Mid Cities Dr
Bentonville, AR 72712
Phone (870) 916-5500

4318 Highway 65 S
Harrison, AR 72601
Phone (870) 414-4040

108 N Shackleford Rd
Little Rock, AR 72211
Phone (501) 346-8116

108 N Shackleford Rd
Ste 106
Little Rock, AR 72211
Phone (501) 900-8763

2202 E Main St
Mountain View, AR 72560
Phone (870) 269-4144

4020 Richards Rd
Ste A
North Little Rock, AR 72117
Phone (501) 773-6693

Interoperability endpoints

  • Direct secure messaging: kasey.sutterfield@4330.securemail.prognocis.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1560816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562803200000",
    "number": "1609436096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 HARRISON ST STE T",
            "city": "BATESVILLE",
            "state": "AR",
            "postal_code": "725017315",
            "telephone_number": "870-262-6155",
            "fax_number": "870-262-6512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 HARRISON ST STE T",
            "city": "BATESVILLE",
            "state": "AR",
            "postal_code": "725017315",
            "telephone_number": "870-262-6155",
            "fax_number": "870-262-6512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTTERFIELD",
        "first_name": "KASEY",
        "middle_name": "DAWN",
        "credential": "APRN, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-18",
        "last_updated": "2019-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "121431",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "F06192323",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Batesville, AR

Sources for this page

Verify at the official NPI Registry.