Kacey Churchwell Apple, APRN

Primary specialty

Neonatal Nurse PractitionerTaxonomy code 363LN0000X

License

A005531 Issued in AR

Practice address

2710 S Rife Medical LN
Rogers, AR 72758-1452

Phone

(479) 338-3331

Fax

(479) 338-2274

NPI assigned

Nov 7, 2008

Last updated

Mar 5, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

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.

• Mercy Health Northwest Arkansas Communities

  • Multi-Specialty Clinic/Center
  • Rogers, AR
  • NPI 1265490916
  NPD (past)

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

{
    "created_epoch": "1226016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520208000000",
    "number": "1790939460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2710 S RIFE MEDICAL LN",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727581452",
            "telephone_number": "479-338-3331",
            "fax_number": "479-338-2274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2710 S RIFE MEDICAL LN",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727581452",
            "telephone_number": "479-338-3331",
            "fax_number": "479-338-2274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "APPLE",
        "first_name": "KACEY",
        "middle_name": "CHURCHWELL",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-07",
        "last_updated": "2018-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LN0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal",
            "state": "AR",
            "license": "A005531",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1790939460",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amelia Anthony, PH.D.
• John Charles Antuna, D.O.
• Ap Therapy LLC
• Apex Family Medical Clinic, P.a.
• Apn Rainbow Pediatric Services, PLLC (Rainbow Pediatric Services, PLLC)
• Katherine Dixie Arce
• Imanni Nicole Arellano
• Katie Argueta, LAC
• Arkansas Attachment & Counseling (Susan D. Walker)
• Arkansas Children's Medical Group PLLC (Arkansas Children's Northwest-Clinic)

• Neonatal Nurse Practitioner in Rogers, AR
• Providers in Rogers, AR by specialty
• Neonatal Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.