Marissa Hogan

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

A004945 Issued in AR

Practice address

2901 Medical Center Dr
Pocahontas, AR 72455-9438

Phone

(870) 892-4467

NPI assigned

Oct 31, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pocahontas Medical Clinic PAGroup PAC ID 4688651029, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Bernards Five Rivers Medical Center Hospital, Pocahontas, AR, CCN 040779

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Pocahontas Medical Clinic PA

  • Family Medicine Physician
  • Pocahontas, AR
  • NPI 1508855305
  Medicare reassignment Care Compare group NPD
• Pocahontas Medical Clinic PA

  dba Pocahontas Medical Clinic - Corning

  • Family Medicine Physician
  • Corning, AR
  • NPI 1326781816
  NPD

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

• Five Rivers Medical Center Inc.

  dba St. Bernards Five Rivers Medical Center

  • General Acute Care Hospital
  • Pocahontas, AR
  • NPI 1528360989
  Care Compare affiliation

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

{
    "created_epoch": "1477872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477872000000",
    "number": "1639621121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 LEXIE LN",
            "city": "POCAHONTAS",
            "state": "AR",
            "postal_code": "724558859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 MEDICAL CENTER DR",
            "city": "POCAHONTAS",
            "state": "AR",
            "postal_code": "724559438",
            "telephone_number": "870-892-4467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOGAN",
        "first_name": "MARISSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-31",
        "last_updated": "2016-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A004945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Higginbotham, PTA
• Gina Higginbotham, CCC-SLP
• Shayna Danielle Hilderbran, LMSW
• David Jacob Hinkle
• Marilyn Kay Hogan, MSP, CCC-SLP
• Caitlyn Holder, DPT
• Riki Hollowell, PTA
• Brent E Holt, MD
• Danny B Holt, MD
• Amy Lynn Howell

• Family Nurse Practitioner in Pocahontas, AR
• Providers in Pocahontas, AR by specialty
• Family Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2016; 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.

Verify at the official NPI Registry.