Active NPI
Amber Mobley, APRN-CNP
- Psychiatric/Mental Health Nurse Practitioner
- Fort Smith, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- A005022
- Practice address
- 3111 S 70TH St
Fort Smith, AR 72903-5017 - Phone
- (479) 452-6650
- Fax
- (479) 452-5847
- NPI assigned
- Dec 29, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | R081263 | AR | |
| Family Nurse Practitioner | 363LF0000X | A005022 | AR | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | A005022 | AR | Primary |
Addresses
Primary practice location
3111 S 70TH St
Fort Smith, AR 72903-5017
Mailing address
PO Box 11818
Fort Smith, AR 72917-1818
Phone (479) 452-6650
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3113 S 70TH St
Fort Smith, AR 72903-5017
Phone (479) 478-6664
825 Hwy 71 N
Suite O
Alma, AR 72921-5114
Phone (479) 353-2368
Hospital & facility affiliations
- Northwest Medical Center-Springdale
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.5 of 100
- Quality
- 69.34
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R081263 | AR | MD | Registered Nurse |
| A005022 | AR | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| My Psych Health LLC | Current | Accepting new patients | |
| The Guidance Center - Mena Clinic | Current | Accepting new patients | |
| Pavilion Behavioral Health LLC | Current | Accepting new patients | |
| The Guidance Center - Whole Health | Family | Current | Accepting new patients |
| Western Arkansas Counseling & Guidance Center, Inc | Current | Accepting new patients |
Locations
825 Highway 71 N
Ste O
Alma, AR 72921
Phone (479) 276-5020
3113 S 70th St
Fort Smith, AR 72903
Phone (479) 478-6664
3111 S 70th St
Fort Smith, AR 72903
2705 Oak Ln
#A
Van Buren, AR 72956
Phone (479) 474-8084
1857 Rice St
Waldron, AR 72958
Phone (479) 637-2468
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.
-
- Counseling Psychologist
- Alma, AR
- NPI 1215643028
-
- Community/Behavioral Health Agency
- Fort Smith, AR
- NPI 1326040692
-
- Community/Behavioral Health Agency
- Mena, AR
- NPI 1356516579
-
- Family Medicine Physician
- Fort Smith, AR
- NPI 1730787037
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Springdale, AR
- NPI 1699726695
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1482969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568678400000",
"number": "1750826798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 11818",
"city": "FORT SMITH",
"state": "AR",
"postal_code": "729171818",
"telephone_number": "479-452-6650",
"fax_number": "479-452-5847"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3111 S 70TH ST",
"city": "FORT SMITH",
"state": "AR",
"postal_code": "729035017",
"telephone_number": "479-452-6650",
"fax_number": "479-452-5847"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOBLEY",
"first_name": "AMBER",
"credential": "APRN-CNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-12-29",
"last_updated": "2019-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "AR",
"license": "R081263",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AR",
"license": "A005022",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "AR",
"license": "A005022",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Smith, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2019; 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.