Individual provider Active NPI

Kara Elizabeth Simmons, PA

  • Physician Assistant
  • Corning, AR
National Provider Identifier
1699283838
Registry record updated Aug 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA-862 Issued in AR
Practice address
1300 Creason Rd
Corning, AR 72422-1716
Phone
(870) 857-3399
Fax
(870) 857-3301
NPI assigned
Jan 22, 2018
Last updated
Aug 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA-862 AR Primary

Addresses

Primary practice location

1300 Creason Rd
Corning, AR 72422-1716

Mailing address

PO Box 83
Corning, AR 72422-0083
Phone (713) 834-2307

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
I20191112000889 AR Practitioner - Physician Assistant 1153677414 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
1St Choice Healthcare IncGroup PAC ID 0648184218, 36 clinicians

Practice addresses (Care Compare)

1300 Creason Rd
Corning, AR 72422-1716
Phone (870) 857-3399

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA-862ARMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Longinotti Williams Aprn Services PLLC CurrentSince Oct 1, 2022 Accepting new patients
1St Choice Healthcare Inc CurrentSince Aug 2, 2022 Accepting new patients
1St Choice Healthcare Inc Past Accepting new patients
Ozarks Medical Center 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

11215 Hermitage Rd
Ste 103
Little Rock, AR 72211
Phone (501) 219-1929

1 Medical Dr
Ste 100
Paragould, AR 72450
Phone (870) 236-2000

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

  • Direct secure messaging: kara.simmons@1st.eclinicaldirectplus.com

Organizations & group practices 5

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": "1516579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723766400000",
    "number": "1699283838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 83",
            "city": "CORNING",
            "state": "AR",
            "postal_code": "724220083",
            "telephone_number": "713-834-2307",
            "fax_number": "870-857-9934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 CREASON RD",
            "city": "CORNING",
            "state": "AR",
            "postal_code": "724221716",
            "telephone_number": "870-857-3399",
            "fax_number": "870-857-3301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "KARA",
        "middle_name": "ELIZABETH",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-22",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AR",
            "license": "PA-862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corning, AR

Sources for this page

Verify at the official NPI Registry.