Marcella Bobette Bramblett, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

A004273 Issued in AR

Practice address

628 Hospital Dr
Ste E
Mountain Home, AR 72653-2953

Phone

(870) 508-3260

Fax

(870) 508-1626

NPI assigned

Jan 9, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

Specialty

Nurse Practitioner

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ozark Pelvic Health, LLCGroup PAC ID 9133594799, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baxter Health Hospital, Mountain Home, AR, CCN 040027

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Ozark Pelvic Health, LLC

  • Gynecology Physician
  • Mountain Home, AR
  • NPI 1598463572
  Medicare reassignment Care Compare group NPD
• Baxter County Regional Hospital Inc

  dba D/B/a Baxter Regional Pulmonology Clinic

  • Pulmonary Disease Physician
  • Mountain Home, AR
  • NPI 1447420997
  Medicare reassignment NPD
• Baxter County Regional Hospital Inc

  dba Baxter Health Comprehensive Women's Clinic

  • Clinic/Center
  • Mountain Home, AR
  • NPI 1598030579
  NPD
• Vitality Plus Infusion Center, LLC

  • Infusion Therapy Clinic/Center
  • Mountain Home, AR
  • NPI 1356121461
  NPD
• Baxter County Regional Hospital Inc

  dba Baxter Health Neurosurgery & Spine Clinic

  • Neurological Surgery Physician
  • Mountain Home, AR
  • NPI 1720515737
  NPD (past)
• Ozarks Medical Center

  dba Ozarks Healthcare

  • General Acute Care Hospital
  • West Plains, MO
  • NPI 1831115641
  NPD (past)

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

• Baxter County Regional Hospital Inc

  dba BRMC Professional Fees

  • General Acute Care Hospital
  • Mountain Home, AR
  • NPI 1033147921
  Care Compare affiliation
• Baxter County Regional Hospital, Inc

  dba Baxter Health

  • General Acute Care Hospital
  • Mountain Home, AR
  • NPI 1881788933
  Care Compare affiliation

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

{
    "created_epoch": "1420761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621900800000",
    "number": "1720477086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "628 HOSPITAL DR",
            "address_2": "STE E",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726532953",
            "telephone_number": "870-508-3260",
            "fax_number": "870-508-1626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "628 HOSPITAL DR",
            "address_2": "STE E",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726532953",
            "telephone_number": "870-508-3260",
            "fax_number": "870-508-1626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAMBLETT",
        "first_name": "MARCELLA",
        "middle_name": "BOBETTE",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-09",
        "last_updated": "2021-05-25",
        "certification_date": "2021-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A004273",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "441143001",
            "state": "AR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "marcella.bramblett@bhcawp.eclinicaldirectplus.com",
            "affiliation": "N",
            "endpointDescription": "direct email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "628 Hospital Dr",
            "address_2": "Ste E",
            "city": "Mountain Home",
            "state": "AR",
            "country_code": "US",
            "postal_code": "726532953",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Hope Boyd, LPN
• Bradley Wayne Coleman,D.D.S.
• Lucas Bradley, MD
• Rebecca M Bradley
• Shanah Bradley
• Garrett Branaman, PT, DPT
• Matthew D Brandon
• Kristin Brannon
• Tanner Brannon, APRN-CNP
• Caitlin Nicole Branscum

• Family Nurse Practitioner in Mountain Home, AR
• Providers in Mountain Home, AR by specialty
• Family Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2021; 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.