Individual provider Active NPI

Roy Kevin Stiles, APRN

  • Family Nurse Practitioner
  • Conway, AR
National Provider Identifier
1811523285
Registry record updated Mar 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
123833 Issued in AR
Practice address
525 Western Ave Ste 202
Conway, AR 72034-4980
Phone
(501) 358-6905
Fax
(501) 513-5338
NPI assigned
Mar 18, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 123833 AR Primary

Addresses

Primary practice location

525 Western Ave Ste 202
Conway, AR 72034-4980

Mailing address

22 Thoroughbred Dr
Vilonia, AR 72173-8052
Phone (501) 733-5756

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
I20200324003083 AR Practitioner - Nurse Practitioner 1456789551 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist HealthGroup PAC ID 0648177949, 106 clinicians

Practice addresses (Care Compare)

625 United Dr
Suite 220
Conway, AR 72032-7826
Phone (501) 358-6361

Hospital & facility affiliations

  • Baptist Health Medical Center- Conway Hospital, Conway, AR, CCN 040154
  • Conway Regional Medical Center, Inc Hospital, Conway, AR, CCN 040029
  • Baptist Health Medical Center Heber Springs Hospital, Heber Springs, AR, CCN 041312

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Current Accepting new patients
Baptist Health CurrentSince Nov 2, 2020 Accepting new patients
Baptist Health CurrentSince Nov 2, 2020 Accepting new patients
Baptist Health Past Accepting new patients
Arkansas Cardiology PastSince Mar 22, 2020 Accepting new patients

Locations

625 United Dr
Ste 220
Conway, AR 72032
Phone (501) 327-7555

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

9501 Baptist Health Dr
Ste 600
Little Rock, AR 72205

Interoperability endpoints

  • Direct secure messaging: rstiles468525@direct.baptist-healthar.org

Organizations & group practices 5

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1584489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584489600000",
    "number": "1811523285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 THOROUGHBRED DR",
            "city": "VILONIA",
            "state": "AR",
            "postal_code": "721738052",
            "telephone_number": "501-733-5756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 WESTERN AVE STE 202",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720344980",
            "telephone_number": "501-358-6905",
            "fax_number": "501-513-5338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STILES",
        "first_name": "ROY",
        "middle_name": "KEVIN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-18",
        "last_updated": "2020-03-18",
        "certification_date": "2020-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "123833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conway, AR

Sources for this page

Verify at the official NPI Registry.