Active NPI
Alisa Kay Branscum, APRN
- Family Nurse Practitioner
- Rogers, AR
National Provider Identifier
1720575467
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- A005798
- Practice address
- 2708 S Rife Medical LN Ste 220
Rogers, AR 72758 - Phone
- (479) 338-4400
- NPI assigned
- Apr 18, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | A005798 | AR | |
| Registered Nurse | 163W00000X | R069486 | AR | |
| Family Nurse Practitioner | 363LF0000X | A005798 | AR | Primary |
Addresses
Primary practice location
2708 S Rife Medical LN Ste 220
Rogers, AR 72758
Mailing address
2708 S Rife Medical LN Ste 220
Rogers, AR 72758-1456
Phone (479) 338-4400
Other practice location 1
1 Mercy Way Ste 40
Bella Vista, AR 72714-3000
Phone (479) 802-5588
Other names 1
- Alisa Myers
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180911003428 | AR | Practitioner - Nurse Practitioner | 2769732866 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- St. Francis House Nwa, Inc.
Practice addresses (Care Compare)
1923 W Pickens Rd
Community Clinic Pea Ridge
Pea Ridge, AR 72751-2504
Phone (479) 751-7417
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R069486 | AR | MD | Registered Nurse |
| A005798 | AR | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Francis House Nwa, Inc | Current | Accepting new patients | |
| St Francis House Nwa, Inc | Current | Accepting new patients | |
| St Francis House Nwa, Inc | Current | Accepting new patients | |
| Mercy Health Northwest Arkansas Communities | Past | Accepting new patients | |
| St. Francis House Nwa, Inc. | Past | Accepting new patients |
Locations
614 E Emma Ave
Ste 300
Springdale, AR 72764
Phone (479) 751-4898
Interoperability endpoints
- abranscum19872@directc.mercy.net
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 and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- West Fork, AR
- NPI 1336986785
-
- Federally Qualified Health Center (FQHC)
- Springdale, AR
- NPI 1891181848
-
- Multi-Specialty Clinic/Center
- Rogers, AR
- NPI 1265490916
-
- Federally Qualified Health Center (FQHC)
- Rogers, AR
- NPI 1710160098
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747094400000",
"number": "1720575467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2708 S RIFE MEDICAL LN STE 220",
"city": "ROGERS",
"state": "AR",
"postal_code": "727581456",
"telephone_number": "479-338-4400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2708 S RIFE MEDICAL LN STE 220",
"city": "ROGERS",
"state": "AR",
"postal_code": "72758",
"telephone_number": "479-338-4400"
}
],
"practiceLocations": [
{
"address_1": "1 Mercy Way Ste 40",
"address_purpose": "LOCATION",
"city": "Bella Vista",
"state": "AR",
"postal_code": "727143000",
"country_code": "US",
"telephone_number": "479-802-5588",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRANSCUM",
"first_name": "ALISA",
"middle_name": "KAY",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-18",
"last_updated": "2025-05-13",
"certification_date": "2025-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "AR",
"license": "A005798",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "AR",
"license": "R069486",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AR",
"license": "A005798",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ALISA",
"last_name": "MYERS",
"credential": "APRN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Rogers, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2025; 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.