Individual provider Active NPI

Erin Nicole Craig, APRN

  • Adult Health Nurse Practitioner
  • Little Rock, AR
National Provider Identifier
1801663273
Registry record updated Dec 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
225635 Issued in AR
Practice address
200 River Market Ave Ste 100
Little Rock, AR 72201-1762
Phone
(501) 492-0099
Fax
(479) 968-1673
NPI assigned
Dec 6, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 225635 AR
Adult Health Nurse Practitioner 363LA2200X 225635 AR Primary

Addresses

Primary practice location

200 River Market Ave Ste 100
Little Rock, AR 72201-1762

Mailing address

PO Box 9178
Russellville, AR 72811-9178
Phone (855) 498-6767

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
I20240101000328 AR Practitioner - Nurse Practitioner 3476903675 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
225635ARMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
SHC Medical Partners of Arkansas, LLC CurrentSince Jul 15, 2024 Accepting new patients
Icp Arkansas Aco Billing LLC CurrentSince Dec 14, 2023 Accepting new patients
St Bernards Physician Clinics Inc Current Accepting new patients
Integrated Care Professionals, LLC CurrentSince Dec 14, 2023 Accepting new patients

Locations

200 River Market Ave
Ste 500
Little Rock, AR 72201
Phone (501) 492-0099

200 River Market Ave
Ste 100
Little Rock, AR 72201
Phone (501) 267-9870

805 N Whittington Pkwy
Ste 400
Louisville, KY 40222
Phone (502) 272-3438

Interoperability endpoints

  • Direct secure messaging: encraig@sbpc.medalliesdirect.net

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1701820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702857600000",
    "number": "1801663273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9178",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728119178",
            "telephone_number": "855-498-6767",
            "fax_number": "479-968-1673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 RIVER MARKET AVE STE 100",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722011762",
            "telephone_number": "501-492-0099",
            "fax_number": "479-968-1673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAIG",
        "first_name": "ERIN",
        "middle_name": "NICOLE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-06",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "AR",
            "license": "225635",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AR",
            "license": "225635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.