Amanda Jane Billingsley, APRN, FNP
Individual provider Active NPI Family Nurse Practitioner · Pocahontas, AR
NPI 1679926141 · NPPES record last updated Aug 15, 2024
Key facts
- NPI
- 1679926141
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 123033 (AR)
- Practice address
- 1016 McQuay Ave
Pocahontas, AR 72455-2407 - Phone
- (870) 892-9949
- Fax
- (708) 920-2088
- NPI assigned
- Jul 19, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- 1St Choice Healthcare Inc
Practice addresses (Care Compare)
1016 McQuay Ave
Pocahontas, AR 72455-2407
Phone (870) 895-9949
1300 Creason Rd
Corning, AR 72422-1716
Phone (870) 857-3399
201 Colonial Dr
Walnut Ridge, AR 72476-1410
Phone (870) 886-5507
PO Box
Suite 83
Corning, AR 72422
Hospital & facility affiliations
- St Bernards Five Rivers Medical Center
- St Bernards Medical Center
- Lawrence Memorial Hospital
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200205000969 | AR | Practitioner - Nurse Practitioner | 3375838626 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 123033 | AR | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 1St Choice Healthcare Inc | Current | Accepting new patients | |
| 1St Choice Healthcare Inc | Current |
Accepting new patients | |
| 1St Choice Healthcare Inc | Past | Accepting new patients |
Locations
1300 Creason Rd
Corning, AR 72422
Phone (870) 857-3399
2178 Highway 62 412
Highland, AR 72542
Phone (870) 994-2202
1 Medical Dr
Ste 100
Paragould, AR 72450
Phone (870) 236-2000
141 Betty Dr
Pocahontas, AR 72455
Phone (870) 892-9949
1016 McQuay Ave
Pocahontas, AR 72455
Phone (870) 892-9949
172 Highway 62 W
Salem, AR 72576
Phone (870) 895-2735
201 Colonial Dr
Walnut Ridge, AR 72476
Phone (870) 886-5507
Interoperability endpoints
- amanda.billingsley@1st.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 123033 | AR | Yes |
Addresses
Primary practice location
1016 McQuay Ave
Pocahontas, AR 72455-2407
Mailing address
PO Box 83
Corning, AR 72422-0083
Phone (870) 857-3334
Other providers in Pocahontas, AR
- Allie Kay Barnes
- Chelsea R Barnett
- Basco Chiropractic Clinic
- Dennis Geary Basco
- Juliana M Bennett
- Black River Anesthesia, PLC
- Black River Area Development Corp. Senior Citizens Program
- Black River Area Development Corp. Senior Citizens Program
- Stephen K. Blackburn
- Kelley Blackwell
All providers in Pocahontas, AR · Family Nurse Practitioner in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 15, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.