Individual provider Active NPI

Emily Ann Kordsmeier, PA

  • Physician Assistant
  • Fort Smith, AR
National Provider Identifier
1780196550
Registry record updated Aug 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA-761 Issued in AR
Practice address
7301 Rogers Ave
Fort Smith, AR 72903-4100
Phone
(479) 314-6000
NPI assigned
Nov 1, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA-761 AR Primary

Addresses

Primary practice location

7301 Rogers Ave
Fort Smith, AR 72903-4100

Mailing address

200 Corporate Blvd
Lafayette, LA 70508-3870
Phone (800) 893-9698

Other practice location 1

2302 College Ave
Conway, AR 72034-6297
Phone (501) 329-3831

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
I20180108002289 AR Practitioner - Physician Assistant 7214296706 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthcare Express, LLPGroup PAC ID 9739131442, 68 clinicians

Practice addresses (Care Compare)

11819 Maumelle Blvd
North Little Rock, AR 72113-6567
Phone (501) 771-9355

125 Arkansas Blvd
Texarkana, AR 71854-1963
Phone (870) 772-9355

1554 Country Club Rd
Sherwood, AR 72120-5095
Phone (501) 500-1012

23150 I
Suite 30
Bryant, AR 72022-1405
Phone (501) 888-9047

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Fort Smith Communities CurrentSince Feb 9, 2018 Accepting new patients
Southeast Arkansas Emergency Physicians LLP Physician Assistant CurrentSince Nov 2, 2021 Accepting new patients
Healthcare Express, LLP CurrentSince Aug 29, 2022 Accepting new patients
Healthcare Express, LLP CurrentSince Aug 29, 2022 Accepting new patients
Mercy Clinic Fort Smith Communities CurrentSince Feb 9, 2018 Accepting new patients
Healthcare Express, LLP Past Accepting new patients

Locations

23150 Interstate 30 N
Bryant, AR 72022
Phone (501) 888-9047

1021 W Collin Raye Dr
De Queen, AR 71832
Phone (870) 518-0018

7001 Rogers Ave
Ste 200
Fort Smith, AR 72903
Phone (479) 314-4620

2901 S 74th St
Fort Smith, AR 72903
Phone (479) 314-1101

7301 Rogers Ave
Fort Smith, AR 72903
Phone (479) 314-4600

11819 Maumelle Blvd
North Little Rock, AR 72113
Phone (501) 771-9355

1600 W 40th Ave
Pine Bluff, AR 71603
Phone (870) 541-7100

1554 Country Club Rd
Sherwood, AR 72120
Phone (501) 500-1012

125 Arkansas Blvd
Texarkana, AR 71854
Phone (870) 772-9355

200 Corporate Blvd
Lafayette, LA 70508

3515 Richmond Rd
Texarkana, TX 75503
Phone (903) 831-7270

Organizations & group practices 8

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": "1509494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565136000000",
    "number": "1780196550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CORPORATE BLVD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083870",
            "telephone_number": "800-893-9698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7301 ROGERS AVE",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729034100",
            "telephone_number": "479-314-6000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2302 College Ave",
            "address_purpose": "LOCATION",
            "city": "Conway",
            "state": "AR",
            "postal_code": "720346297",
            "country_code": "US",
            "telephone_number": "501-329-3831",
            "fax_number": "501-450-2283",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KORDSMEIER",
        "first_name": "EMILY",
        "middle_name": "ANN",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-01",
        "last_updated": "2019-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AR",
            "license": "PA-761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Smith, AR

Sources for this page

Verify at the official NPI Registry.