Individual provider Active NPI

Aspen Deshun Stuart-Gill

  • Primary Care Nurse Practitioner
  • Little Rock, AR
National Provider Identifier
1760296487
Registry record updated Feb 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
231756 Issued in AR
Practice address
400 W Capitol Ave
Little Rock, AR 72201-3436
Phone
(501) 813-2668
NPI assigned
Feb 4, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 231756 AR
Primary Care Nurse Practitioner 363LP2300X 231756 AR Primary

Addresses

Primary practice location

400 W Capitol Ave
Little Rock, AR 72201-3436

Mailing address

12930 Secretariat Dr
Scott, AR 72142-9712
Phone (501) 813-2668

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
I20250221003227 AR Practitioner - Nurse Practitioner 9436679339 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Venvisor Health of Ar PAGroup PAC ID 8022551647, 55 clinicians

Practice addresses (Care Compare)

1202 NE McClain Rd
BLDG 7
Bentonville, AR 72712-3875
Phone (203) 901-2493

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
231756ARMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Venvisor Health of Ar PA CurrentSince Feb 1, 2025 Accepting new patients

Locations

1202 NE McClain Rd
Bentonville, AR 72712
Phone (479) 278-4323

Organizations & group practices 1

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": "1738627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738627200000",
    "number": "1760296487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12930 SECRETARIAT DR",
            "city": "SCOTT",
            "state": "AR",
            "postal_code": "721429712",
            "telephone_number": "501-813-2668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W CAPITOL AVE",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722013436",
            "telephone_number": "501-813-2668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUART-GILL",
        "first_name": "ASPEN",
        "middle_name": "DESHUN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-04",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "AR",
            "license": "231756",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "AR",
            "license": "231756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.