Individual provider Active NPI

Doris Jean Hastey, PMH-APRN-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Mena, AR
National Provider Identifier
1790201820
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
A005315 Issued in AR
Practice address
311 Morrow St N
Mena, AR 71953-2516
Phone
(479) 394-6100
Fax
(479) 243-2386
NPI assigned
Aug 21, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X A005315 AR Primary

Addresses

Primary practice location

311 Morrow St N
Mena, AR 71953-2516

Mailing address

311 Morrow St N
Mena, AR 71953-2516
Phone (479) 394-6100

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
I20170922000434 AR Practitioner - Nurse Practitioner 1951675479 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mena Hospital CommissionGroup PAC ID 8527057678, 13 clinicians

Practice addresses (Care Compare)

311 Morrow St N
Mena, AR 71953-2516
Phone (479) 394-6100

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A005315ARMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mena Hospital Commission CurrentSince Sep 11, 2017 Accepting new patients
Mena Hospital Commission Current Accepting new patients
My Psych Health LLC CurrentSince Nov 5, 2023 Accepting new patients
Mena Hospital Commission Current Accepting new patients
Mena Hospital Commission CurrentSince Sep 11, 2017 Accepting new patients

Locations

825 Highway 71 N
Ste O
Alma, AR 72921
Phone (479) 276-5020

1103 College Dr
Mena, AR 71953
Phone (479) 394-1414

311 Morrow St N
Mena, AR 71953
Phone (479) 394-6100

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1503273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1790201820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 MORROW ST N",
            "city": "MENA",
            "state": "AR",
            "postal_code": "719532516",
            "telephone_number": "479-394-6100",
            "fax_number": "479-243-2386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 MORROW ST N",
            "city": "MENA",
            "state": "AR",
            "postal_code": "719532516",
            "telephone_number": "479-394-6100",
            "fax_number": "479-243-2386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASTEY",
        "first_name": "DORIS",
        "middle_name": "JEAN",
        "credential": "PMH-APRN-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-21",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AR",
            "license": "A005315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mena, AR

Sources for this page

Verify at the official NPI Registry.