Amy Lanelle Phelps, APRN

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

A005026 Issued in AR

Practice address

400 Crestwood Cir Ste L
Mena, AR 71953-5512

Phone

(479) 243-2103

Fax

(479) 243-2243

NPI assigned

Mar 6, 2017

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

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

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mena Surgical ClinicGroup PAC ID 8123185725, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mena Regional Health System Hospital, Mena, AR, CCN 041334

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

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

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.

• Mena Surgical Clinic

  • Surgery Physician
  • Mena, AR
  • NPI 1871738161
  Medicare reassignment Care Compare group NPD
• Mena Family Health Center

  • Family Medicine Physician
  • Mena, AR
  • NPI 1447571047
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Mena Hospital Commission

  dba Mena Regional Health System

  • Critical Access Hospital
  • Mena, AR
  • NPI 1861449639
  Care Compare affiliation

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

{
    "created_epoch": "1488758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488758400000",
    "number": "1760922058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 CRESTWOOD CIR STE L",
            "city": "MENA",
            "state": "AR",
            "postal_code": "719535512",
            "telephone_number": "479-243-2103",
            "fax_number": "479-243-2243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 CRESTWOOD CIR STE L",
            "city": "MENA",
            "state": "AR",
            "postal_code": "719535512",
            "telephone_number": "479-243-2103",
            "fax_number": "479-243-2243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHELPS",
        "first_name": "AMY",
        "middle_name": "LANELLE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-06",
        "last_updated": "2017-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AR",
            "license": "A005026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peachtree Lane at Mena, LLC
• Peachtree Mena LLC (Peachtree Assisted Living)
• David C. Peppers, D.D.S.
• Valerie Marie Perez, APRN
• Karen Ann Perry
• Lana Kay Philpot, PTA
• Polk County Developmental Center, Inc.
• Polk Operations, LLC (Rich Mountain Nursing and Rehab Center)
• Presidential Emergency Physicians, LLC
• Edward Carroll Puckett, PT

• Acute Care Nurse Practitioner in Mena, AR
• Providers in Mena, AR by specialty
• Acute Care Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2017; 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.