Individual provider Active NPI

Stephanie Eagle, FNP-BC

  • Family Nurse Practitioner
  • Lonoke, AR
National Provider Identifier
1689394520
Registry record updated Aug 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
221288 Issued in AR
Practice address
1010 N Center St
Lonoke, AR 72086-2005
Phone
(501) 438-8075
Fax
(870) 895-2164
NPI assigned
Aug 31, 2022
Last updated
Aug 31, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2022

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 221288 AR Primary

Addresses

Primary practice location

1010 N Center St
Lonoke, AR 72086-2005

Mailing address

4196 Highway 62 412
Hardy, AR 72542-8002

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
I20220915003704 AR Practitioner - Nurse Practitioner 9830574524 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bradley Bibb MD PLLCGroup PAC ID 4789715285, 71 clinicians
Curana Health of Arkansas LLCGroup PAC ID 1658684675, 12 clinicians

Practice addresses (Care Compare)

104 W State St
Caraway, AR 72419-8553
Phone (870) 895-2015

11005 Heber Springs Rd N
Concord, AR 72523-9561
Phone (844) 291-4901

1176 State Hwy 22 W B
AMC Dardanelle
Dardanelle, AR 72834-3006
Phone (479) 229-3004

16723 Hwy 62
Garfield, AR 72732-7007
Phone (870) 219-7706

1713 W Main St
Heber Springs, AR 72543-2835
Phone (870) 219-7706

202 Newsome Dr
AMC Marked Tree
Marked Tree, AR 72365-2021
Phone (870) 658-4355

217 N Main St
Rison, AR 71665-8856
Phone (870) 219-7706

2280 E Main St
El Dorado, AR 71730-6526
Phone (870) 895-2015

291 W Main St
Lamar, AR 72846-8195
Phone (479) 703-5000

3519 Hwy 63
Black Rock, AR 72415-9022
Phone (870) 878-4005

405 W 16TH St
Hope, AR 71801-7104
Phone (870) 994-7301

4196 Hwy 62 412
Suite a
Hardy, AR 72542-8002
Phone (870) 994-7301

451 Phillips St
West Fork, AR 72774-2813
Phone (479) 294-6085

609 SW 8TH St
6TH Floor
Bentonville, AR 72712-8913
Phone (337) 991-9276

871 W Main St
Booneville, AR 72927-3420
Phone (870) 219-7706

9217 N Hwy
Cedarville, AR 72932
Phone (479) 262-2244

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
221288ARMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bradley Bibb MD PLLC CurrentSince Sep 1, 2022 Accepting new patients
Access Medical Clinic Arkansas LTC LLC CurrentSince Sep 1, 2022 Accepting new patients
Access Medical Clinic Arkansas LLC CurrentSince Sep 1, 2022 Accepting new patients
Bradley Bibb, MD PLLC CurrentSince Sep 1, 2022 Accepting new patients
Bradley Bibb MD PLLC Current Accepting new patients
Access Medical Clinic Arkansas LTC LLC CurrentSince Nov 12, 2023 Accepting new patients
Access Medical Clinic Arkansas LLC Past Accepting new patients
Access Medical Clinic Arkansas LLC Past Accepting new patients
Access Medical Clinic Arkansas LLC Past Accepting new patients
Access Medical Clinic Arkansas LLC Past Accepting new patients
Access Medical Clinic Arkansas LLC Past Accepting new patients
Access Medical Clinic Arkansas LLC Past Accepting new patients
Access Medical Clinic Arkansas, LLC Past Accepting new patients
Access Medical Clinic Arkansas LLC PastSince May 1, 2021 Accepting new patients
Access Medical Clinic Arkansas LLC Past Accepting new patients
Access Medical Clinic Arkansas LLC Past Accepting new patients
Access Medical Clinic Arkansas LLC Past Accepting new patients
Access Medical Clinic Arkansas LLC Past Accepting new patients
Access Medical Clinic Arkansas LLC Past Accepting new patients
Access Medical Clinic Arkansas LLC Past Accepting new patients
Access Medical Clinic Arkansas LLC Past Accepting new patients
Access Medical Clinic Arkansas LLC Past Accepting new patients
Access Medical Clinic Arkansas LLC Past Accepting new patients
Bradley Bibb MD PLLC Past Accepting new patients
Access Medical Clinic Arkansas, LLC Past Accepting new patients
Access Medical Clinic Arkansas LLC Past Accepting new patients

Locations

49 Highway 62 412
Ste 412
Ash Flat, AR 72513

104 W State St
Caraway, AR 72419
Phone (870) 219-7706

11005 Heber Springs Rd N
Concord, AR 72523
Phone (844) 291-4901

704 Main Ave
Dierks, AR 71833
Phone (870) 455-1172

2280 E Main St
El Dorado, AR 71730
Phone (870) 444-5216

806 E Main St
Flippin, AR 72634
Phone (870) 219-7706

16723 Highway 62
Garfield, AR 72732
Phone (870) 219-7706

4196 Highway 62 412
#A
Hardy, AR 72542
Phone (870) 856-2100

1713 W Main St
Heber Springs, AR 72543
Phone (501) 250-2020

405 W 16th St
Hope, AR 71801
Phone (870) 777-0007

106 Highway 62 W
Salem, AR 72576
Phone (870) 895-2762

810 S Rock St
Sheridan, AR 72150
Phone (870) 917-2289

3809 E 9th St
Ste 15
Texarkana, AR 71854
Phone (870) 621-0080

9798 Highway 62 W
Viola, AR 72583
Phone (870) 458-6732

106 N Van Buren St
Weiner, AR 72479
Phone (870) 605-0014

451 Phillips St
West Fork, AR 72774
Phone (479) 294-6085

Interoperability endpoints

  • Direct secure messaging: stephanie.eagle.1@22235.direct.athenahealth.com
  • Direct secure messaging: stephanie.eagle.1@2424.direct.athenahealth.com
  • Direct secure messaging: stephanie.eagle.1@29938.direct.athenahealth.com

Organizations & group practices 29

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.

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1661904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661904000000",
    "number": "1689394520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4196 HIGHWAY 62 412",
            "city": "HARDY",
            "state": "AR",
            "postal_code": "725428002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 N CENTER ST",
            "city": "LONOKE",
            "state": "AR",
            "postal_code": "720862005",
            "telephone_number": "501-438-8075",
            "fax_number": "870-895-2164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EAGLE",
        "first_name": "STEPHANIE",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-31",
        "last_updated": "2022-08-31",
        "certification_date": "2022-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "221288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lonoke, AR

Sources for this page

Verify at the official NPI Registry.