Individual provider Active NPI

Hayley Leighann Rosnermanz, NP

  • Family Nurse Practitioner
  • Conway, AR
National Provider Identifier
1619547478
Registry record updated Dec 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
215210 Issued in AR
Practice address
1080 Pats LN
Conway, AR 72032-4754
Phone
(501) 326-0901
NPI assigned
Jun 24, 2021
Last updated
Dec 5, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2022

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 215210 AR Primary

Addresses

Primary practice location

1080 Pats LN
Conway, AR 72032-4754

Mailing address

1 Childrens Way # 653
Little Rock, AR 72202-3500
Phone (501) 364-1100

Other practice location 1

1 Childrens Way # 512-1
Little Rock, AR 72202-3500
Phone (501) 364-1100

Other identifiers 1

IdentifierTypeStateIssuer
215210OtherARNP LICENSE NUMBER

Other names 1

  • Hayley L Rossell Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL hrosnermanz@360hcmgmt.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
I20210802001033 AR Practitioner - Nurse Practitioner 0143624965 Reassigns benefits to 7 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
215210ARMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Arkansas for Medical Sciences CurrentSince Dec 1, 2022 Accepting new patients
Neurology Clinic of South Arkansas,PA CurrentSince May 1, 2022 Accepting new patients
Primary Care 360 CurrentSince Jun 1, 2022 Accepting new patients
University of Arkansas for Medical Sciences CurrentSince Dec 1, 2022 Accepting new patients
University of Arkansas for Medical Sciences Current Accepting new patients
Hot Springs Interventional Pain Management PA CurrentSince Jul 1, 2021 Accepting new patients
Arkansas Children's Hospital CurrentSince Dec 1, 2022 Accepting new patients
American Hope and Health Clinic Associates LLC CurrentSince Jun 26, 2023 Accepting new patients
Arkansas Childrens Hospital CurrentSince Dec 1, 2022 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince May 1, 2025 Accepting new patients
Charis Health & Wellness Family PastSince Apr 11, 2019 Accepting new patients
Ncsa PLLC PastSince May 1, 2022 Accepting new patients

Locations

1 Mercy Ln
Ste 304
Hot Springs National Park, AR 71913
Phone (501) 321-4772

1 Childrens Way
Little Rock, AR 72202
Phone (501) 441-3453

1 Childrens Way
#5121
Little Rock, AR 72202
Phone (501) 364-5262

1 Childrens Way
#653
Little Rock, AR 72202
Phone (501) 614-2006

1 Childrens Way
Ste 653
Little Rock, AR 72202

100 Shadow Oaks Dr
Sherwood, AR 72120
Phone (501) 918-9192

105 Frankie Ln
White Hall, AR 71602
Phone (870) 247-2088

7500 Dollarway Rd
Ste 106
White Hall, AR 71602
Phone (870) 247-6160

7500 Dollarway Rd
Ste 403
White Hall, AR 71602
Phone (870) 247-4525

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1624492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670198400000",
    "number": "1619547478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CHILDRENS WAY # 653",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722023500",
            "telephone_number": "501-364-1100",
            "fax_number": "501-364-4082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1080 PATS LN",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720324754",
            "telephone_number": "501-326-0901"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Childrens Way # 512-1",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722023500",
            "country_code": "US",
            "telephone_number": "501-364-1100",
            "fax_number": "501-364-3418",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSNERMANZ",
        "first_name": "HAYLEY",
        "middle_name": "LEIGHANN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-24",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "215210",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NP LICENSE NUMBER",
            "identifier": "215210",
            "state": "AR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "hrosnermanz@360hcmgmt.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1080 Pats Ln",
            "city": "Conway",
            "state": "AR",
            "country_code": "US",
            "postal_code": "72032",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "HAYLEY",
            "last_name": "ROSSELL",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Conway, AR

Sources for this page

Verify at the official NPI Registry.