Stephanie R Marcom, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

228729 Issued in AR

Practice address

4300 Grand Ave
Fort Smith, AR 72904-7028

Phone

(479) 208-4601

NPI assigned

Feb 20, 2024

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

Medicare fee-for-service enrollment

Enrolled in AR, OK2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Urgent Team of Arkansas Physicians LLCGroup PAC ID 1850539198, 155 clinicians

Arkansas Lung Center PLLCGroup PAC ID 2769838812, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BIBDDD

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.

• Arkansas Lung Center PLLC

  • Multi-Specialty Clinic/Center
  • Fort Smith, AR
  • NPI 1447036108

  Family, OK

  Medicare reassignment Care Compare group NPD
• Urgent Team of Arkansas Physicians, LLC

  • Rural Health Clinic/Center
  • Searcy, AR
  • NPI 1992041370
  Medicare reassignment Care Compare group NPD
• Everwell Collective PLLC

  • Family Nurse Practitioner
  • Van Buren, AR
  • NPI 1912838947
  NPD Authorized official
• Urgent Team of Arkansas Physicians, LLC

  • Rural Health Clinic/Center
  • Batesville, AR
  • NPI 1326730466
  NPD

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

{
    "created_epoch": "1708387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1730944679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 GRAND AVE",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729047028",
            "telephone_number": "479-208-4601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 GRAND AVE",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729047028",
            "telephone_number": "479-208-4601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCOM",
        "first_name": "STEPHANIE",
        "middle_name": "R",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-20",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "228729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyler Mann
• Alina Manning, LPN
• Stephen C Manus, MD
• Julia Marchese
• Marcie McKinney D.D.S., P.a.
• Whitney Brannon Marcotte, M.S., CCC-SLP
• Andrea Lauren Mardis, COTA/L
• Margaret J Thiele DDS PA
• Arthur Basil Marino, OTR
• Mark a Willis DDS Ms PA

• Family Nurse Practitioner in Fort Smith, AR
• Providers in Fort Smith, 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 21, 2024; 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.