Individual provider Active NPI

Aleksi Hipps, APRN

  • Family Nurse Practitioner
  • Russellville, AR
National Provider Identifier
1740922962
Registry record updated Apr 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
216186 Issued in AR
Practice address
3812 W Main St
Russellville, AR 72801-2314
Phone
(479) 968-1245
NPI assigned
Apr 8, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 19, 2022

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 216186 AR Primary

Addresses

Primary practice location

3812 W Main St
Russellville, AR 72801-2314

Mailing address

2307 W 7TH St
Russellville, AR 72801-5545
Phone (501) 215-7900

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
I20220531000523 AR Practitioner - Nurse Practitioner 6002294279 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Westside Family Clinic LLC Family CurrentSince Jan 18, 2024 Accepting new patients
Monfee Medical Clinic CurrentSince May 19, 2022 Accepting new patients

Locations

3812 W Main St
Russellville, AR 72801
Phone (479) 968-1245

Interoperability endpoints

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

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1649376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650326400000",
    "number": "1740922962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2307 W 7TH ST",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728015545",
            "telephone_number": "501-215-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3812 W MAIN ST",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728012314",
            "telephone_number": "479-968-1245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIPPS",
        "first_name": "ALEKSI",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-08",
        "last_updated": "2022-04-19",
        "certification_date": "2022-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "216186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Russellville, AR

Sources for this page

Verify at the official NPI Registry.