Active NPI
Nelson Mishler
- Physician Assistant
- Springdale, AR
National Provider Identifier
1609647015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 340705
- Practice address
- 609 W Maple Ave
Springdale, AR 72764-5335 - Phone
- (479) 751-5711
- NPI assigned
- Jan 15, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Physician Assistant | 363A00000X | 340705 | LA | Primary |
Addresses
Primary practice location
609 W Maple Ave
Springdale, AR 72764-5335
Mailing address
1440 Ari Ave
Centerton, AR 72719-7074
Phone (530) 957-4251
Other practice location 1
211 4th St
Alexandria, LA 71301-8421
Phone (530) 957-4251
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA, AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Arkansas Regional Medical Center | Current | Accepting new patients | |
| North Arkansas Regional Medical Center | Current | Accepting new patients | |
| Michael S. Clarke, M.D., P.a. | Current | Accepting new patients | |
| North Arkansas Regional Medical Center | Current | Accepting new patients | |
| North Arkansas Regional Medical Center | Past | Accepting new patients |
Locations
620 N Main St
Harrison, AR 72601
Phone (870) 365-2000
Organizations & group practices 8
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.
-
- Emergency Medical Services (Emergency Medicine) Physician
- Harrison, AR
- NPI 1801067657
-
- Neonatal-Perinatal Medicine Physician
- Bentonville, AR
- NPI 1811762701
-
- Emergency Medicine Physician
- Alexandria, LA
- NPI 1306889092
-
- Emergency Medicine Physician
- Covington, LA
- NPI 1891187654
-
- Anatomic Pathology & Clinical Pathology Physician
- Harrison, AR
- NPI 1376029041
-
- Hospitalist Physician
- Harrison, AR
- NPI 1376817304
-
- Pain Medicine Physician
- Harrison, AR
- NPI 1689533317
-
- Anesthesiology Physician
- Harrison, AR
- NPI 1245355296
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1705276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758931200000",
"number": "1609647015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1440 ARI AVE",
"city": "CENTERTON",
"state": "AR",
"postal_code": "727197074",
"telephone_number": "530-957-4251"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "609 W MAPLE AVE",
"city": "SPRINGDALE",
"state": "AR",
"postal_code": "727645335",
"telephone_number": "479-751-5711"
}
],
"practiceLocations": [
{
"address_1": "211 4th St",
"address_purpose": "LOCATION",
"city": "Alexandria",
"state": "LA",
"postal_code": "713018421",
"country_code": "US",
"telephone_number": "530-957-4251",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MISHLER",
"first_name": "NELSON",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-01-15",
"last_updated": "2025-09-27",
"certification_date": "2025-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": null,
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "LA",
"license": "340705",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springdale, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.