Individual provider Active NPI

Heather Rae Hale, APRN

  • Nurse Practitioner
  • Van Buren, AR
National Provider Identifier
1679824197
Registry record updated Dec 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
A006199 Issued in AR
Practice address
2925 Alma Hwy Ste C2
Van Buren, AR 72956-5063
Phone
(479) 208-1174
NPI assigned
Sep 24, 2012
Last updated
Dec 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X R0099836 OK
Family Nurse Practitioner 363LF0000X R0099836 OK
Nurse Practitioner 363L00000X A006199 AR Primary

Addresses

Primary practice location

2925 Alma Hwy Ste C2
Van Buren, AR 72956-5063

Mailing address

1751 N Aspen Ave
Broken Arrow, OK 74012-1197
Phone (918) 794-6008

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160111002462 TX Practitioner - Nurse Practitioner 2163677360 Reassigns benefits to 1 organization
I20190424000137 AR Practitioner - Nurse Practitioner 2163677360 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Optimal Pain and WellnessGroup PAC ID 8325200942, 4 clinicians

Practice addresses (Care Compare)

1708 E Joyce Blvd
Suite 3
Fayetteville, AR 72703-5251
Phone (479) 301-2565

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A006199ARMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cherokee Nation CurrentSince Nov 7, 2015 Accepting new patients
Optimal Pain and Wellness CurrentSince Jun 3, 2024 Accepting new patients
Optimal Pain and Wellness CurrentSince Jun 3, 2024 Accepting new patients
Mercy Clinic Fort Smith Communities Nurse Practitioner CurrentSince May 16, 2021 Accepting new patients
Cherokee Nation Current Accepting new patients
Mercy Clinic Fort Smith Communities CurrentSince May 6, 2019 Accepting new patients
Cherokee Nation Current Accepting new patients
Mercy Clinic Fort Smith Communities CurrentSince May 6, 2019 Accepting new patients
Cherokee Nation CurrentSince Nov 7, 2015 Accepting new patients

Locations

7003 Chad Colley Blvd
Barling, AR 72923
Phone (479) 431-3493

1708 E Joyce Blvd
Ste 3
Fayetteville, AR 72703
Phone (479) 301-2565

3501 We Knight Dr
Fort Smith, AR 72903
Phone (479) 709-6700

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

7800 Dallas St
Fort Smith, AR 72903
Phone (479) 259-9286

2925 Alma Hwy
Ste C2
Van Buren, AR 72956
Phone (479) 208-1174

859 E Melton Dr
Jay, OK 74346
Phone (918) 253-4271

1001 S 41st St E
#3
Muskogee, OK 74403
Phone (918) 687-0201

1020 Lenape Dr
Nowata, OK 74048
Phone (918) 273-0192

900 N Owen Walters Blvd
Salina, OK 74365
Phone (918) 434-8500

100 S Bliss Ave
Tahlequah, OK 74464
Phone (918) 458-3100

Dept 2269
Tulsa, OK 74182

27371 S 4410 Rd
Vinita, OK 74301
Phone (918) 256-4800

Interoperability endpoints

  • Direct secure messaging: heather.butler@4085.securemail.prognocis.com

Organizations & group practices 9

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 1

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": "1348444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766966400000",
    "number": "1679824197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1751 N ASPEN AVE",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740121197",
            "telephone_number": "918-794-6008",
            "fax_number": "918-516-3447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2925 ALMA HWY STE C2",
            "city": "VAN BUREN",
            "state": "AR",
            "postal_code": "729565063",
            "telephone_number": "479-208-1174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALE",
        "first_name": "HEATHER",
        "middle_name": "RAE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-24",
        "last_updated": "2025-12-29",
        "certification_date": "2025-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "OK",
            "license": "R0099836",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "R0099836",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AR",
            "license": "A006199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Buren, AR

Sources for this page

Verify at the official NPI Registry.