Individual provider Active NPI

Elisabeth Rogers, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Little Rock, AR
National Provider Identifier
1649077199
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
232052 Issued in AR
Practice address
10801 Executive Center Dr Ste 303
Little Rock, AR 72211-4303
Phone
(501) 506-1587
NPI assigned
Mar 3, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 232052 AR Primary

Addresses

Primary practice location

10801 Executive Center Dr Ste 303
Little Rock, AR 72211-4303

Mailing address

10801 Executive Center Dr Ste 303
Little Rock, AR 72211-4303
Phone (501) 506-1587

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
I20250724000198 AR Practitioner - Nurse Practitioner 2668988700 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coco Psychiatric Services PLLCGroup PAC ID 9537579750, 7 clinicians

Practice addresses (Care Compare)

10816 Executive Ctr Dr
Suite 104
Little Rock, AR 72211-4381
Phone (501) 506-1587

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
232052ARMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Coco Psychiatric Services PLLC Psychiatric/Mental Health CurrentSince Jun 1, 2025 Accepting new patients

Locations

3025 Fountain Dr
Ste 200
Conway, AR 72034
Phone (501) 327-0110

10816 Executive Center Dr
Ste 104
Little Rock, AR 72211
Phone (501) 506-1587

10801 Executive Center Dr
Ste 303
Little Rock, AR 72211
Phone (501) 506-1587

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1740960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740960000000",
    "number": "1649077199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10801 EXECUTIVE CENTER DR STE 303",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722114303",
            "telephone_number": "501-506-1587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10801 EXECUTIVE CENTER DR STE 303",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722114303",
            "telephone_number": "501-506-1587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "ELISABETH",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-03",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AR",
            "license": "232052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.