Individual provider Active NPI

Mauri Rogers, APRN

  • Family Nurse Practitioner
  • Paragould, AR
National Provider Identifier
1780160085
Registry record updated Jul 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A005773 Issued in AR
Practice address
4000 Linwood Dr Ste a
Paragould, AR 72450-7224
Phone
(870) 239-8503
NPI assigned
Jul 19, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2018

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 A005773 AR Primary

Addresses

Primary practice location

4000 Linwood Dr Ste a
Paragould, AR 72450-7224

Mailing address

4901 S 27 1/2 St
Paragould, AR 72450-5295
Phone (870) 215-8656

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
I20181003002974 AR Practitioner - Nurse Practitioner 2163774068 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Doctors Health Group, IncGroup PAC ID 7315844586, 23 clinicians

Practice addresses (Care Compare)

4000 Linwood Dr
Suite a
Paragould, AR 72450-7224
Phone (870) 239-8503

4000 Linwood Dr
Suite a
Paragould, AR 72450-8894

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A005773ARMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St Bernards Physician Clinics Inc Current Accepting new patients
Doctors Health Group, Inc CurrentSince Aug 20, 2018 Accepting new patients
Doctors Health Group, Inc CurrentSince Aug 20, 2018 Accepting new patients

Locations

4000 Linwood Dr
Ste A
Paragould, AR 72450
Phone (870) 239-8503

1 Medical Dr
Ste 100
Paragould, AR 72450
Phone (870) 236-2000

Interoperability endpoints

  • Direct secure messaging: mrogers@sbpc.medalliesdirect.net

Organizations & group practices 3

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1531958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531958400000",
    "number": "1780160085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4901 S 27 1/2 ST",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724505295",
            "telephone_number": "870-215-8656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 LINWOOD DR STE A",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724507224",
            "telephone_number": "870-239-8503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "MAURI",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-19",
        "last_updated": "2018-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A005773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paragould, AR

Sources for this page

Verify at the official NPI Registry.