Individual provider Active NPI

Christy Anders

  • Family Nurse Practitioner
  • Fort Smith, AR
National Provider Identifier
1730774308
Registry record updated Aug 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
214727 Issued in AR
Practice address
1000 S Waldron Rd
Fort Smith, AR 72903-2550
Phone
(479) 221-9922
Fax
(479) 221-9988
NPI assigned
Mar 5, 2021
Last updated
Aug 29, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 214727 AR Primary
Family Medicine Physician 207Q00000X 214727 AR

Addresses

Primary practice location

1000 S Waldron Rd
Fort Smith, AR 72903-2550

Mailing address

1000 S Waldron Rd
Fort Smith, AR 72903-2550
Phone (479) 221-9922

Other practice location 1

9207 Highway 71 South, suite 9
Fort Smith, AR 72916
Phone (479) 434-6140

Other practice location 2

5901 Riley Park Dr Ste B
Fort Smith, AR 72916-6104
Phone (479) 763-3050

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
I20220912001191 AR Practitioner - Nurse Practitioner 7810372893 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1000 S Waldron Rd
Fort Smith, AR 72903-2550
Phone (479) 221-9922

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
214727ARMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Fort Smith Communities CurrentSince Sep 19, 2022 Accepting new patients
Mercy Clinic Fort Smith Communities CurrentSince Sep 19, 2022 Accepting new patients
Premier Pediatrics PLLC PastSince Oct 1, 2021 Accepting new patients

Locations

1000 S Waldron Rd
Fort Smith, AR 72903
Phone (479) 221-9922

7001 Rogers Ave
Ste 200
Fort Smith, AR 72903
Phone (479) 314-4620

Organizations & group practices 3

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 1

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": "1614902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661731200000",
    "number": "1730774308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 S WALDRON RD",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729032550",
            "telephone_number": "479-221-9922",
            "fax_number": "479-221-9988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 S WALDRON RD",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729032550",
            "telephone_number": "479-221-9922",
            "fax_number": "479-221-9988"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9207 Highway 71 South, suite 9",
            "address_purpose": "LOCATION",
            "city": "Fort Smith",
            "state": "AR",
            "postal_code": "72916",
            "country_code": "US",
            "telephone_number": "479-434-6140",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5901 Riley Park Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "Fort Smith",
            "state": "AR",
            "postal_code": "729166104",
            "country_code": "US",
            "telephone_number": "479-763-3050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERS",
        "first_name": "CHRISTY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-05",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "214727",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "214727",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Smith, AR

Sources for this page

Verify at the official NPI Registry.