Carol Ann Piatkowski, APRN

Key facts

NPI

1679006969

Entity type

Individual (NPI type 1)

Primary specialty

Family Nurse Practitioner 363LF0000X

License

A005006 (AR)

Practice address

3493 Bella Vista Way
Bella Vista, AR 72714-5740

Phone

(479) 265-3712

Fax

(479) 265-3713

NPI assigned

Apr 4, 2017

Sex

Female

Sole proprietor

No

Organizations & group practices 2

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.

• Mercy Northwest Arkansas Ambulatory Services LLC Urgent Care Clinic/Center · Springdale, AR · NPI 1366922320
  Medicare reassignment Care Compare group NPD AR
• Mercy Health Northwest Arkansas Communities Multi-Specialty Clinic/Center · Rogers, AR · NPI 1265490916
  NPD (past)

Medicare Care Compare profile

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mercy Northwest Arkansas Ambulatory Services, LLC (50 clinicians)

Practice addresses (Care Compare)

Medicare participation

Medicare fee-for-service enrollment

Enrolled in AR

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 14, 2023.

{
    "created_epoch": "1491264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676332800000",
    "number": "1679006969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3493 BELLA VISTA WAY",
            "city": "BELLA VISTA",
            "state": "AR",
            "postal_code": "727145740",
            "telephone_number": "479-265-3712",
            "fax_number": "479-265-3713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3493 BELLA VISTA WAY",
            "city": "BELLA VISTA",
            "state": "AR",
            "postal_code": "727145740",
            "telephone_number": "479-265-3712",
            "fax_number": "479-265-3713"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Park Dr Ste C",
            "address_purpose": "LOCATION",
            "city": "Holiday Island",
            "state": "AR",
            "postal_code": "726319450",
            "country_code": "US",
            "telephone_number": "870-448-5733",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PIATKOWSKI",
        "first_name": "CAROL",
        "middle_name": "ANN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-04",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A005006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bella Vista, AR

• Gloria Jean Pense, OT
• Mitzi K Peronia, PT
• Jocelyn Peterson, LMFT, LPC
• Paul Wynn Peterson, LAMFT
• Michal Maranto Phillips, M.D.
• Alexis Pinos
• Albert Paul Price Jr., A.N.P.
• Deborah Pridemore, LPC, LMFT
• Amanda Pullen, M.S. CF-SLP
• QHG of Springdale Inc

All providers in Bella Vista, AR · Family Nurse Practitioner in Arkansas