Individual provider Active NPI

Julie Elizabeth Greek, APN

  • Family Nurse Practitioner
  • Booneville, AR
National Provider Identifier
1780908319
Registry record updated Mar 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A03341ANP Issued in AR
Practice address
880 W Main St
Booneville, AR 72927-3420
Phone
(479) 675-2455
NPI assigned
Mar 25, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2010

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 A03341ANP AR Primary

Addresses

Primary practice location

880 W Main St
Booneville, AR 72927-3420

Mailing address

PO Box 290
Booneville, AR 72927-0290
Phone (479) 675-2455

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
I20100610001125 AR Practitioner - Nurse Practitioner 2769512151 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Hospital BoonevilleGroup PAC ID 1951530385, 13 clinicians

Practice addresses (Care Compare)

351 E Priddy St
Mercy Family Med Magazine
Magazine, AR 72943-8503
Phone (479) 969-8640

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Waldron, AR, CCN 047855
  • Mercy Hospital Booneville Hospital, Booneville, AR, CCN 041318
  • Mercy Hospital Fort Smith Hospital, Fort Smith, AR, CCN 040062
  • Mercy Hospital Paris Hospital, Paris, AR, CCN 041300

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A03341ANPARMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Fort Smith Communities CurrentSince Feb 17, 2019 Accepting new patients
Mercy Hospital Booneville CurrentSince Apr 24, 2017 Accepting new patients
Mercy Clinic Fort Smith Communities CurrentSince Feb 17, 2019 Accepting new patients
Mercy Hospital Booneville CurrentSince Apr 24, 2017 Accepting new patients
Mercy Hospital Booneville Past Accepting new patients
Booneville Community Hospital, Inc Past Accepting new patients

Locations

880 W Main St
Booneville, AR 72927
Phone (479) 675-2800

128 Daniel Dr
Booneville, AR 72927
Phone (479) 675-2455

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

6801 Rogers Ave
Fort Smith, AR 72903
Phone (479) 314-6000

351 E Priddy St
Magazine, AR 72943
Phone (479) 969-8640

Interoperability endpoints

  • Direct secure messaging: jgreek473785@directb.mercy.net
  • Direct secure messaging: jgreek483445@directc.mercy.net

Organizations & group practices 6

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 4

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": "1269475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269475200000",
    "number": "1780908319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 290",
            "city": "BOONEVILLE",
            "state": "AR",
            "postal_code": "729270290",
            "telephone_number": "479-675-2455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 W MAIN ST",
            "city": "BOONEVILLE",
            "state": "AR",
            "postal_code": "729273420",
            "telephone_number": "479-675-2455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEK",
        "first_name": "JULIE",
        "middle_name": "ELIZABETH",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-25",
        "last_updated": "2010-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A03341ANP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Booneville, AR

Sources for this page

Verify at the official NPI Registry.