Organization Active NPI

Compassion Health & Wellness Clinic, PLLC

  • Family Nurse Practitioner
  • Nashville, AR
National Provider Identifier
1760937171
Registry record updated Oct 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A004771 Issued in AR
Legal business name
COMPASSION HEALTH & WELLNESS CLINIC, PLLC
Practice address
1400 Leslie St
Nashville, AR 71852-4027
Phone
(870) 845-1933
NPI assigned
Aug 16, 2016
Last updated
Oct 24, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2016

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

Authorized official

Name
Michelle L Boone, DNPNPI 1215310784
Title
Owner
Phone
(870) 845-1933

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X A004771 AR Primary

Addresses

Primary practice location

1400 Leslie St
Nashville, AR 71852-4027

Mailing address

PO Box 509
Nashville, AR 71852-0509

Other identifiers 1

IdentifierTypeStateIssuer
215353762MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161017000438 AR Part B Supplier - Clinic/Group Practice 5395033856 Receives reassigned benefits from 4 practitioners
Practice locations: Nashville, AR

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
04D2118965Compassion Health & Wellness Clinic, PLLC1400 Leslie Street, Nashville, AR 71852Certificate of waiverSep 15, 2026

National Provider Directory

National Provider Directory

Locations

1400 Leslie St
Nashville, AR 71852
Phone (870) 845-1933

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1471305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477267200000",
    "number": "1760937171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 509",
            "city": "NASHVILLE",
            "state": "AR",
            "postal_code": "718520509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 LESLIE ST",
            "city": "NASHVILLE",
            "state": "AR",
            "postal_code": "718524027",
            "telephone_number": "870-845-1933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASSION HEALTH & WELLNESS CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-16",
        "last_updated": "2016-10-24",
        "status": "A",
        "authorized_official_last_name": "BOONE",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-845-1933",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A004771",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "215353762",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.