Individual provider Active NPI

Shelly Lowry, APRN

  • Family Nurse Practitioner
  • Elkins, AR
National Provider Identifier
1669086898
Registry record updated Sep 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
121858 Issued in AR
Practice address
19680 McCord Rd
Elkins, AR 72727-8932
Phone
(479) 466-9097
NPI assigned
Sep 4, 2020
Last updated
Sep 4, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2020

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 121858 AR Primary

Addresses

Primary practice location

19680 McCord Rd
Elkins, AR 72727-8932

Mailing address

19680 McCord Rd
Elkins, AR 72727-8932
Phone (479) 466-9097

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211221001859 AR Practitioner - Nurse Practitioner 3678964970 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
121858ARMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mission Family Practice PLLC CurrentSince Nov 1, 2021 Accepting new patients

Locations

2630 E Citizens Dr
Ste 13
Fayetteville, AR 72703
Phone (479) 571-6000

2744 E Millennium Dr
Ste 1
Fayetteville, AR 72703
Phone (479) 571-6000

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: shelly.lowry.p1@direct.missionfamily.nextgenshare.com

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, 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": "1599177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599177600000",
    "number": "1669086898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19680 MCCORD RD",
            "city": "ELKINS",
            "state": "AR",
            "postal_code": "727278932",
            "telephone_number": "479-466-9097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19680 MCCORD RD",
            "city": "ELKINS",
            "state": "AR",
            "postal_code": "727278932",
            "telephone_number": "479-466-9097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOWRY",
        "first_name": "SHELLY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-04",
        "last_updated": "2020-09-04",
        "certification_date": "2020-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "121858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkins, AR

Sources for this page

Verify at the official NPI Registry.