Individual provider Active NPI

Tracy R Harwood, APRN

  • Family Nurse Practitioner
  • Fort Smith, AR
National Provider Identifier
1790926475
Registry record updated Jan 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A003217 Issued in AR
Practice address
4105 Newlon Rd
Fort Smith, AR 72904-2126
Phone
(479) 974-1270
Fax
(479) 974-1271
NPI assigned
Mar 10, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X A03217 AR
Family Nurse Practitioner 363LF0000X A003217 AR Primary

Addresses

Primary practice location

4105 Newlon Rd
Fort Smith, AR 72904-2126

Mailing address

3505 S 79TH St
Fort Smith, AR 72903-6250
Phone (479) 709-8686

Other identifiers 2

IdentifierTypeStateIssuer
200235270AMedicaidOK
178809758MedicaidAR

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
I20090403000476 AR Practitioner - Nurse Practitioner 9436206646 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sebastian Physician Services, PLLCGroup PAC ID 5294178448, 41 clinicians
Venvisor Health of Ar PAGroup PAC ID 8022551647, 55 clinicians

Practice addresses (Care Compare)

1001 Towson Ave
Fort Smith, AR 72901-4921
Phone (479) 441-4000

1202 NE McClain Rd
BLDG 7
Bentonville, AR 72712-3875
Phone (203) 901-2493

Hospital & facility affiliations

  • Baptist Health - Fort Smith Hospital, Fort Smith, AR, CCN 040055

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A03217ARMDAcute Care Nurse Practitioner
A003217ARMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Fort Smith Communities CurrentSince Jan 27, 2020 Accepting new patients
Mercy Clinic Fort Smith Communities CurrentSince Jan 27, 2020 Accepting new patients
Venvisor Health of Ar PA CurrentSince Jan 1, 2026 Accepting new patients
Crawford Physician Services, PLLC CurrentSince Aug 26, 2024 Accepting new patients
Premise Health of Arkansas Medical P a CurrentSince Jan 15, 2023 Accepting new patients
Sebastian Physician Services, PLLC CurrentSince Mar 19, 2024 Accepting new patients
Arkansas Post Discharge Services, PLLC CurrentSince Mar 15, 2024 Accepting new patients
Fort Smith Hma PBC Management, LLC Past Accepting new patients
Urology Group of Western Arkansas Past Accepting new patients
Baptist Health Regional Hospitals Past Accepting new patients

Locations

1202 NE McClain Rd
Bentonville, AR 72712
Phone (479) 278-4323

1400 S Zero St
Fort Smith, AR 72901
Phone (479) 573-3082

3505 S 79th St
Fort Smith, AR 72903
Phone (479) 709-6729

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

4105 Newlon Rd
Fort Smith, AR 72904
Phone (479) 974-1270

5401 Ellsworth Rd
Fort Smith, AR 72903
Phone (479) 314-1101

1001 Towson Ave
Fort Smith, AR 72901
Phone (479) 441-3980

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

211 Crawford Memorial Dr
Van Buren, AR 72956
Phone (479) 471-4300

Organizations & group practices 10

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 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": "1236643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673222400000",
    "number": "1790926475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3505 S 79TH ST",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729036250",
            "telephone_number": "479-709-8686",
            "fax_number": "479-709-8687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4105 NEWLON RD",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729042126",
            "telephone_number": "479-974-1270",
            "fax_number": "479-974-1271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARWOOD",
        "first_name": "TRACY",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-10",
        "last_updated": "2023-01-09",
        "certification_date": "2023-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AR",
            "license": "A03217",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A003217",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200235270A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "178809758",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Smith, AR

Sources for this page

Verify at the official NPI Registry.