Gerald S Stipanuk, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

E-7145 Issued in AR

Practice address

1007 Windover Rd # 6009
Jonesboro, AR 72401-6007

Phone

(870) 520-6473

NPI assigned

Dec 28, 2005

Reactivated

Nov 21, 2017

Last updated

Apr 6, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in TN, AR2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Internal Medicine

Education

University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1977

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Medical Rehab Group LLPGroup PAC ID 9133429152, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Bernards Medical Center Hospital, Jonesboro, AR, CCN 040020
• Encompass Health Rehabilitation Hospital Inpatient rehabilitation facility, Jonesboro, AR, CCN 043029

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gstipanuk@yourcarecommunity.org

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.

• Medical Rehab Group LLP

  • Family Medicine Physician
  • Jonesboro, AR
  • NPI 1669856704
  Medicare reassignment Care Compare group NPD
• Compliance & Screening Services CSS

  dba CSS Healthcare, LLC

  • Occupational Medicine Clinic/Center
  • El Dorado, AR
  • NPI 1033545561
  Medicare reassignment Authorized official
• Provision Health Care LLC

  • Family Nurse Practitioner
  • El Dorado, AR
  • NPI 1134090061
  Medicare reassignment NPD
• Optimal Care Services, Inc

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Memphis, TN
  • NPI 1831061738
  Medicare reassignment NPD
• Go MD USA LLC

  • Primary Care Clinic/Center
  • Memphis, TN
  • NPI 1467276550
  Medicare reassignment
• Center for Regenerative Medicine PA

  dba Clearstone Medical Center

  • General Practice Physician
  • Bryant, AR
  • NPI 1093364820
  NPD (past) Authorized official
• Inpatient Medical Services, PC

  • Hospitalist Physician
  • Johnson City, TN
  • NPI 1316925191
  NPD (past)
• Martin Clinic Corp

  • Family Medicine Physician
  • Martin, TN
  • NPI 1568465102

  Internal Medicine

  NPD (past)
• Ozarks Medical Center

  dba Ozarks Healthcare

  • General Acute Care Hospital
  • West Plains, MO
  • NPI 1831115641
  NPD (past)
• Pauker Inpatient Services

  • Internal Medicine Physician
  • Union City, TN
  • NPI 1902818388
  NPD (past)

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

• Encompass Health Rehabilitation Hospital of Jonesboro, LLC

  dba Encompass Health Rehabilitation Hospital of Jonesboro

  • Rehabilitation Hospital
  • Jonesboro, AR
  • NPI 1417292608

  Inpatient rehabilitation facility

  Care Compare affiliation
• St Bernards Hospital Inc

  dba St Bernards Medical Center

  • General Acute Care Hospital
  • Jonesboro, AR
  • NPI 1922043686
  Care Compare affiliation

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

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775433600000",
    "number": "1669459905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 WINDOVER RD # 6009",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724016007",
            "telephone_number": "870-204-0534",
            "fax_number": "731-235-0559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 WINDOVER RD # 6009",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724016007",
            "telephone_number": "870-520-6473"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1201 Fleming Ave",
            "address_purpose": "LOCATION",
            "city": "Jonesboro",
            "state": "AR",
            "postal_code": "724014311",
            "country_code": "US",
            "telephone_number": "870-201-0534",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STIPANUK",
        "first_name": "GERALD",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-28",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "deactivation_date": "2017-11-01",
        "reactivation_date": "2017-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "TPME2910",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "29939",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AR",
            "license": "E-7145",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS TN",
            "identifier": "4217156",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1511734",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS KY",
            "identifier": "0000006613645",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph Stiles
• M. Jean Still, LCSW
• Stillwell Communication Therapy, LLC (The Communication Depot)
• Denita Scott Stillwell, CCC-SLP
• Sheila Stinson, M.D.
• Sierra Stipp, LCSW
• Darci A Stobaugh
• Kaitlin Stober, CCTP, LPC
• Donovan Ritchie Stockdale, M.D.
• Dana Michelle Stokes

• Internal Medicine Physician in Jonesboro, AR
• Providers in Jonesboro, AR by specialty
• Internal Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2026; 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.