Individual provider Active NPI

Michael R Poppy, APRN

  • Family Nurse Practitioner
  • Cabot, AR
National Provider Identifier
1801332002
Registry record updated Mar 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A004981 Issued in AR
Practice address
1850 W Main St
Cabot, AR 72023-2745
Phone
(501) 605-0009
NPI assigned
Jan 11, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X A004981 AR Primary
Nurse Practitioner 363L00000X A004981 AR

Addresses

Primary practice location

1850 W Main St
Cabot, AR 72023-2745

Mailing address

1850 W Main St
Cabot, AR 72023-2745
Phone (501) 605-0009

Other identifiers 1

IdentifierTypeStateIssuer
1801332002MedicaidAR

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address michael.poppy@medxpress.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A004981ARMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Arkansas Clinic Charitable Foundation, Inc. Current Accepting new patients
Medexpress Urgent Care Arkansas, P.a. Current Accepting new patients
Arkansas Health Group CurrentSince Jul 29, 2019 Accepting new patients
Northeast Arkansas Clinic Charitable Foundation, Inc. CurrentSince Jan 9, 2017 Accepting new patients
Arkansas Health Group CurrentSince Jul 29, 2019 Accepting new patients
Medexpress Urgent Care Arkansas, P.a. CurrentSince Oct 1, 2018 Accepting new patients
Greenbrier Emergency Services, Inc. Nurse Practitioner CurrentSince Nov 1, 2019 Accepting new patients
Medexpress Urgent Care Arkansas, P.a. CurrentSince Oct 1, 2018 Accepting new patients
Northeast Arkansas Clinic Charitable Foundation, Inc. CurrentSince Jan 9, 2017 Accepting new patients

Locations

4802 E Johnson Ave
Jonesboro, AR 72405
Phone (901) 227-9820

1111 Windover Rd
Jonesboro, AR 72401
Phone (870) 935-5432

11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215

3333 Springhill Dr
North Little Rock, AR 72117
Phone (501) 202-3000

1160 S 40th St
Springdale, AR 72762
Phone (479) 750-2971

Organizations & group practices 9

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": "1484092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648166400000",
    "number": "1801332002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 W MAIN ST",
            "city": "CABOT",
            "state": "AR",
            "postal_code": "720232745",
            "telephone_number": "501-605-0009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 W MAIN ST",
            "city": "CABOT",
            "state": "AR",
            "postal_code": "720232745",
            "telephone_number": "501-605-0009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POPPY",
        "first_name": "MICHAEL",
        "middle_name": "R",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-01-11",
        "last_updated": "2022-03-25",
        "certification_date": "2022-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A004981",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AR",
            "license": "A004981",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1801332002",
            "state": "AR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "michael.poppy@medxpress.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "unknown",
            "address_1": "1850 W Main St",
            "city": "Cabot",
            "state": "AR",
            "country_code": "US",
            "postal_code": "720232745",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cabot, AR

Sources for this page

Verify at the official NPI Registry.