Active NPI
Carolyn Jean Gipson, APRN
- Family Nurse Practitioner
- Fort Smith, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 223676
- Practice address
- 6801 Rogers Ave Ste 5TH
Fort Smith, AR 72903-4067 - Phone
- (479) 274-2801
- NPI assigned
- Apr 17, 2023
- Last updated
- Jul 11, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 223676 | AR | Primary |
Addresses
Primary practice location
6801 Rogers Ave Ste 5TH
Fort Smith, AR 72903-4067
Mailing address
6801 Rogers Ave Ste 5TH
Fort Smith, AR 72903-4067
Phone (479) 274-2801
Other names 1
- Kris Gipson
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
701 S Adams St
Lavaca, AR 72941-3833
P O Box
Suite 51266
Lafayette, LA 70505-1266
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Palliative Care at Heart, LLC | Current | Accepting new patients | |
| Palliative Care at Heart, LLC | Current | Accepting new patients | |
| Mercy Clinic Fort Smith Communities | Current | Accepting new patients | |
| Mercy Clinic Fort Smith Communities | Current | Accepting new patients |
Locations
1401 S Waldron Rd
Ste 201
Fort Smith, AR 72903
Phone (479) 396-4082
6801 Rogers Ave
Fl 5
Fort Smith, AR 72903
Phone (479) 274-4100
6801 Rogers Ave
Ste 5TH
Fort Smith, AR 72903
Phone (479) 274-2801
7001 Rogers Ave
Ste 200
Fort Smith, AR 72903
Phone (479) 314-4620
Organizations & group practices 4
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.
-
- Multi-Specialty Clinic/Center
- Fort Smith, AR
- NPI 1902073620
-
- Nurse Practitioner
- Fort Smith, AR
- NPI 1124589536
-
- Endocrinology, Diabetes & Metabolism Physician
- Fort Smith, AR
- NPI 1790258002
-
- Hospice and Palliative Medicine (Family Medicine) Physician
- Lake Charles, LA
- NPI 1336600675
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Enhabit Home Health of Eastern Oklahoma
- Home Health Agency
- Muskogee, OK
- NPI 1306826698
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689033600000",
"number": "1801582457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6801 ROGERS AVE STE 5TH",
"city": "FORT SMITH",
"state": "AR",
"postal_code": "729034067",
"telephone_number": "479-274-2801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6801 ROGERS AVE STE 5TH",
"city": "FORT SMITH",
"state": "AR",
"postal_code": "729034067",
"telephone_number": "479-274-2801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIPSON",
"first_name": "CAROLYN",
"middle_name": "JEAN",
"name_prefix": "Ms.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-04-17",
"last_updated": "2023-07-11",
"certification_date": "2023-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AR",
"license": "223676",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KRIS",
"last_name": "GIPSON",
"credential": "APRN, FNP-BC",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Fort Smith, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.