Ellen Lavera Qualls, APN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

A03179 Issued in AR

Practice address

301 S Main St Ste D
Cave City, AR 72521-5010

Phone

(870) 834-0581

NPI assigned

Dec 5, 2008

Sex

Female

Sole proprietor

No

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.

• Still Waters Wellness LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Cave City, AR
  • NPI 1497446769

  AR, Psychiatric/Mental Health

  Medicare reassignment Care Compare group NPD
• Jay Jeffrey, MD, Facs, PLLC

  • Surgery Physician
  • Batesville, AR
  • NPI 1841767803

  AR

  Medicare reassignment NPD
• White River Health System Inc

  • Rural Health Clinic/Center
  • Cave City, AR
  • NPI 1568442127

  AR

  Medicare reassignment NPD
• White River Health System, Inc

  • Rural Health Clinic/Center
  • Newport, AR
  • NPI 1871609743

  AR

  Medicare reassignment NPD
• White River Health System, Inc.

  • Psychiatry Physician
  • Batesville, AR
  • NPI 1710952650

  AR, Psychiatric/Mental Health

  Medicare reassignment NPD
• White River Health System, Inc.

  • Hospitalist Physician
  • Batesville, AR
  • NPI 1831495423

  AR

  Medicare reassignment NPD
• White River Health System, Inc.

  • Health Service Clinic/Center
  • Batesville, AR
  • NPI 1992079651

  AR

  Medicare reassignment NPD
• Batesville Cardiology PA

  • Specialist
  • Batesville, AR
  • NPI 1770548356
  NPD (past)

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

• White River Health System Inc

  • Specialist
  • Batesville, AR
  • NPI 1144742768

  Hospital

  Care Compare affiliation
• White River Health System, Inc

  • Anesthesiology Physician
  • Batesville, AR
  • NPI 1760410229

  Hospital

  Care Compare affiliation
• White River Health System, Inc

  • Rural Health Clinic/Center
  • Newport, AR
  • NPI 1871609743

  Hospital

  Care Compare affiliation
• White River Health System, Inc

  • Pulmonary Disease Physician
  • Batesville, AR
  • NPI 1952697138

  Hospital

  Care Compare affiliation
• White River Health System, Inc.

  • Rural Health Clinic/Center
  • Batesville, AR
  • NPI 1154770436

  Hospital

  Care Compare affiliation
• White River Health System, Inc.

  • Neurology Physician
  • Batesville, AR
  • NPI 1235101601

  Hospital

  Care Compare affiliation
• White River Health System, Inc.

  • Rheumatology Physician
  • Batesville, AR
  • NPI 1235518739

  Hospital

  Care Compare affiliation
• White River Health System, Inc.

  • Orthopaedic Surgery Physician
  • Batesville, AR
  • NPI 1265821193

  Hospital

  Care Compare affiliation
• White River Health System, Inc.

  • Critical Access Hospital
  • Mountain View, AR
  • NPI 1417913419

  Hospital

  Care Compare affiliation
• White River Health System, Inc.

  • Pain Medicine (Anesthesiology) Physician
  • Batesville, AR
  • NPI 1558447599

  Hospital

  Care Compare affiliation
• White River Health System, Inc.

  • General Acute Care Hospital
  • Batesville, AR
  • NPI 1710943881

  Hospital

  Care Compare affiliation
• White River Health System, Inc.

  • Psychiatry Physician
  • Batesville, AR
  • NPI 1710952650

  Hospital

  Care Compare affiliation

Specialty

Nurse Practitioner

Education

Other, 2008

Medicare assignment

May accept Medicare assignment

Group practices

White River Health System, Inc. 190 clinicians

Still Waters Wellness LLC 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• White River Medical Center Hospital, Batesville, AR, CCN 040119
• Stone County Medical Center Hospital, Mountain View, AR, CCN 041310

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ellen.qualls.1@13831.direct.athenahealth.com

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

Specialties & licenses 2

Addresses

Other identifiers 3

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

{
    "created_epoch": "1228435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711324800000",
    "number": "1689819682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 S MAIN ST STE D",
            "city": "CAVE CITY",
            "state": "AR",
            "postal_code": "725215010",
            "telephone_number": "870-834-0581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S MAIN ST STE D",
            "city": "CAVE CITY",
            "state": "AR",
            "postal_code": "725215010",
            "telephone_number": "870-834-0581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUALLS",
        "first_name": "ELLEN",
        "middle_name": "LAVERA",
        "name_prefix": "Mrs.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-05",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SA2100X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Acute Care",
            "state": "AR",
            "license": "A03179",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AR",
            "license": "A03179",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APN LICENSE A03179",
            "identifier": "A03179",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "180502758",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "5R233",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hagen Mitchell
• Samuel Colby Morgan
• Melissa Walling Morrison, MCD-CCC, SLP
• Ashley Pickering, LM,CPM
• Qualls Therapy Services Inc
• Kayla Marie Qualls, MS, OTR/L
• John Davis Rabon, MSP,CCC-SLP
• Tabatha Reilly
• Kilee Reynolds
• Wendi Rush, OT-A

• All providers in Cave City, AR
• Psychiatric/Mental Health Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.