Zachary Heath McBroom, APRN, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Fort Smith, AR
NPI 1801526751 · NPPES record last updated Jun 14, 2022
Key facts
- NPI
- 1801526751
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 122015 (AR)
- Practice address
- 4900 Kelley Hwy
Fort Smith, AR 72904-5000 - Phone
- (479) 785-5700
- NPI assigned
- Jun 14, 2022
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 16
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- River Valley Primary Care Services
Practice addresses (Care Compare)
4900 Kelley Hwy
Fort Smith, AR 72904-5000
Phone (479) 785-5700
Hospital & facility affiliations
- Mercy Hospital Fort Smith
- Baptist Health - Fort Smith
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220720000455 | AR | Practitioner - Nurse Practitioner | 8729469945 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 122015 | AR | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| River Valley Primary Care Services | Current |
Accepting new patients | |
| River Valley Primary Care Services | Single Specialty | Current | Accepting new patients |
| River Valley Primary Care Services | Current |
Accepting new patients | |
| River Valley Primary Care Services | Past | Accepting new patients |
Locations
4900 Kelley Hwy
Fort Smith, AR 72904
Phone (479) 783-0221
4003 Massard Rd
Fort Smith, AR 72903
Phone (479) 226-3836
2074 Rice St
Waldron, AR 72958
Phone (479) 637-2100
Interoperability endpoints
- zmcbroom596139@direct.ochin.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner |
363LF0000X | 122015 | AR | Yes |
Addresses
Primary practice location
4900 Kelley Hwy
Fort Smith, AR 72904-5000
Mailing address
8010 Massard Rd
Fort Smith, AR 72916-7030
Other providers in Fort Smith, AR
- Chelsea McAfee
- Morgan McAlester
- Chasidy McAllister
- Daniel Jack McAllister
- Kirby McAllister
- Lacy McCain
- Madeline McCain
- Randi McCann
- Shannon McChristian
- McClain Physical Therapy, LLC
All providers in Fort Smith, AR · Family Nurse Practitioner in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 14, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.