Active NPI
Andrea Nichole Bounds, M.D.
- Family Medicine Physician
- Mountain Home, AR
National Provider Identifier
1619296407
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- E7518
- Practice address
- 630 Burnett Dr
Mountain Home, AR 72653-2941 - Phone
- (870) 425-6971
- Fax
- (870) 508-8900
- NPI assigned
- May 19, 2010
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | E7518 | AR | |
| Family Medicine Physician | 207Q00000X | E7518 | AR | Primary |
Addresses
Primary practice location
630 Burnett Dr
Mountain Home, AR 72653-2941
Mailing address
630 Burnett Dr
Mountain Home, AR 72653-2941
Phone (870) 425-6971
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5RR17 | Other | AR | BLUE CROSS/BLUE SHIELD |
| 199344001 | 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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Arkansas College of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
630 Burnett Dr
Mountain Home, AR 72653-2941
Phone (870) 425-6971
Hospital & facility affiliations
- Elite Home Health
- Baxter Health Home Health
- Centerwell Home Health
- Baxter Health
Merit-based Incentive Payment System (MIPS)
- Final score
- 73 of 100
- Quality
- 86.2
- Promoting interoperability
- 33
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E7518 | AR | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ozarks Medical Center | Family Medicine | Past | Accepting new patients |
Interoperability endpoints
- andrea.bounds@rfmmh.eclinicaldirectplus.com
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Mountain Home, AR
- NPI 1003814609
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Salem, AR
- NPI 1295852366
-
- General Acute Care Hospital
- Mountain Home, AR
- NPI 1033147921
-
- Home Health Agency
- Cotter, AR
- NPI 1396779278
-
- General Acute Care Hospital
- Mountain Home, AR
- NPI 1881788933
-
- Home Health Agency
- Melbourne, AR
- NPI 1609228717
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670976000000",
"number": "1619296407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "630 BURNETT DR",
"city": "MOUNTAIN HOME",
"state": "AR",
"postal_code": "726532941",
"telephone_number": "870-425-6971",
"fax_number": "870-508-8900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "630 BURNETT DR",
"city": "MOUNTAIN HOME",
"state": "AR",
"postal_code": "726532941",
"telephone_number": "870-425-6971",
"fax_number": "870-508-8900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOUNDS",
"first_name": "ANDREA",
"middle_name": "NICHOLE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-05-19",
"last_updated": "2022-12-14",
"certification_date": "2022-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "AR",
"license": "E7518",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AR",
"license": "E7518",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "5RR17",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "199344001",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mountain Home, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2022; 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.