Individual provider Active NPI

Leigh Anne Shockley, MSN-APRN

  • Family Nurse Practitioner
  • Gurdon, AR
National Provider Identifier
1730546276
Registry record updated Oct 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A004623 Issued in AR
Practice address
200 E Walnut St
Gurdon, AR 71743-1256
Phone
(870) 353-2800
NPI assigned
Jan 27, 2016
Last updated
Oct 12, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2020

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 A004623 AR Primary

Addresses

Primary practice location

200 E Walnut St
Gurdon, AR 71743-1256

Mailing address

109 Cypress CT
Arkadelphia, AR 71923-9388
Phone (620) 203-8440

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
I20160314000397 AR Practitioner - Nurse Practitioner 6800192170 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist HealthGroup PAC ID 0648177949, shared by 41 NPIs, 106 clinicians

Practice addresses (Care Compare)

200 E Walnut
Gurdon, AR 71743-1256
Phone (870) 353-2800

200 E Walnut St
Gurdon, AR 71743-1256

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A004623ARMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health CurrentSince Feb 15, 2016 Accepting new patients
Baptist Health Current Accepting new patients
Baptist Health CurrentSince Feb 15, 2016 Accepting new patients
Baptist Health CurrentSince Feb 15, 2016 Accepting new patients
Baptist Health CurrentSince Feb 15, 2016 Accepting new patients
Baptist Health CurrentSince Feb 15, 2016 Accepting new patients
Arkansas Cardiology Past Accepting new patients

Locations

2913 Cypress Rd
Ste 100
Arkadelphia, AR 71923
Phone (870) 246-2471

6679 Highway 7
Bismarck, AR 71929
Phone (501) 332-1004

10 Montgomery Dr
Caddo Valley, AR 71923
Phone (870) 245-2198

200 E Walnut St
Gurdon, AR 71743
Phone (870) 353-2800

11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215

1484 W 1st St N
Ste 2
Prescott, AR 71857
Phone (870) 887-0155

Interoperability endpoints

  • Direct secure messaging: lshockley125966@direct.baptist-healthar.org

Organizations & group practices 7

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": "1453852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602460800000",
    "number": "1730546276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 CYPRESS CT",
            "city": "ARKADELPHIA",
            "state": "AR",
            "postal_code": "719239388",
            "telephone_number": "620-203-8440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E WALNUT ST",
            "city": "GURDON",
            "state": "AR",
            "postal_code": "717431256",
            "telephone_number": "870-353-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOCKLEY",
        "first_name": "LEIGH",
        "middle_name": "ANNE",
        "credential": "MSN-APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-27",
        "last_updated": "2020-10-12",
        "certification_date": "2020-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A004623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gurdon, AR

Sources for this page

Verify at the official NPI Registry.