Individual provider Active NPI

Peggy Rosson, APRN

  • Family Nurse Practitioner
  • Ratcliff, AR
National Provider Identifier
1679078489
Registry record updated Feb 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A005526 Issued in AR
Practice address
9755 W State Highway 22
Ratcliff, AR 72951-9000
Phone
(479) 431-2050
Fax
(479) 431-2051
NPI assigned
Mar 26, 2018
Last updated
Feb 1, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2021

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 A005526 AR Primary

Addresses

Primary practice location

9755 W State Highway 22
Ratcliff, AR 72951-9000

Mailing address

9755 W State Highway 22
Ratcliff, AR 72951-9000
Phone (479) 431-2050

Other practice location 1

2074 Rice St
Waldron, AR 72958-7435
Phone (479) 668-4700

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
I20180430001672 AR Practitioner - Nurse Practitioner 1759645625 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

9755 W State Hwy 22
Ratcliff, AR 72951-9000
Phone (479) 431-2050

PO Box
Suite 130
Ratcliff, AR 72951

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
River Valley Primary Care Services CurrentSince Jul 20, 2020 Accepting new patients
Mercy Clinic Fort Smith Communities CurrentSince Jun 11, 2018 Accepting new patients
Mercy Clinic Fort Smith Communities CurrentSince Jun 11, 2018 Accepting new patients
River Valley Primary Care Services Current Accepting new patients
River Valley Primary Care Services CurrentSince Jul 20, 2020 Accepting new patients
River Valley Primary Care Services Past Accepting new patients

Locations

1273 E Highway 64
Coal Hill, AR 72832
Phone (479) 279-7670

7001 Rogers Ave
Ste 200
Fort Smith, AR 72903
Phone (479) 314-4620

7306 Rogers Ave
Fort Smith, AR 72903
Phone (479) 314-2804

801 W River St
Ozark, AR 72949
Phone (479) 667-4138

500 E Academy St
Paris, AR 72855
Phone (479) 963-6101

2074 Rice St
Waldron, AR 72958
Phone (479) 637-2100

Interoperability endpoints

  • Direct secure messaging: prosson589706@direct.ochin.org

Organizations & group practices 6

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1522022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612137600000",
    "number": "1679078489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9755 W STATE HIGHWAY 22",
            "city": "RATCLIFF",
            "state": "AR",
            "postal_code": "729519000",
            "telephone_number": "479-431-2050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9755 W STATE HIGHWAY 22",
            "city": "RATCLIFF",
            "state": "AR",
            "postal_code": "729519000",
            "telephone_number": "479-431-2050",
            "fax_number": "479-431-2051"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2074 Rice St",
            "address_purpose": "LOCATION",
            "city": "Waldron",
            "state": "AR",
            "postal_code": "729587435",
            "country_code": "US",
            "telephone_number": "479-668-4700",
            "fax_number": "479-431-2053",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSSON",
        "first_name": "PEGGY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-26",
        "last_updated": "2021-02-01",
        "certification_date": "2021-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A005526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ratcliff, AR

Sources for this page

Verify at the official NPI Registry.