NPIMap

Individual provider Active NPI

Kristie D Branscum, APRN

  • Family Nurse Practitioner
  • Calico Rock, AR
National Provider Identifier
1821437302
Registry record updated Feb 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A003892 Issued in AR
Practice address
35 Grasse St
Calico Rock, AR 72519
Phone
(870) 297-2475
Fax
(870) 297-4380
NPI assigned
Jun 18, 2013
Last updated
Feb 14, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2017

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 A003892 AR Primary

Addresses

Primary practice location

35 Grasse St
Calico Rock, AR 72519

Mailing address

PO Box 819
Calico Rock, AR 72519-0819
Phone (870) 297-2475

Other identifiers 3

IdentifierTypeStateIssuer
5UU88OtherARBCBS
PO1210713OtherRAILROAD MEDICARE
199752758MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130801000566 AR Practitioner - Nurse Practitioner 6103067293 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baxter Regional Health SystemGroup PAC ID 0941507677, 20 clinicians

Practice addresses (Care Compare)

2161 Ar 56 Hwy
Calico Rock, AR 72519-7009
Phone (870) 916-2000

2161 Hwy 56
Calico Rock, AR 72519-7009
Phone (870) 916-2000

414 W Old Main St
Yellville, AR 72687-8284
Phone (870) 449-4221

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Baxter County Regional Hospital, Inc CurrentSince Dec 1, 2025 Accepting new patients
Baxter Regional Health System CurrentSince Dec 1, 2020 Accepting new patients
Baxter Regional Health System Family Current Accepting new patients
Baxter Regional Health System CurrentSince Dec 1, 2020 Accepting new patients
Baxter County Regional Hospital, Inc CurrentSince Dec 1, 2025 Accepting new patients
Ozarks Medical Center Past Accepting new patients
Baxter Regional Health System Family Past Accepting new patients

Locations

2161 Highway 56
Calico Rock, AR 72519
Phone (870) 404-4329

624 Hospital Dr
Mountain Home, AR 72653
Phone (870) 424-1000

628 Hospital Dr
Ste A
Mountain Home, AR 72653
Phone (501) 425-4402

102 Mountain Place Dr
Ste C
Mountain View, AR 72560
Phone (870) 232-5315

414 W Old Main St
Yellville, AR 72687
Phone (870) 424-1000

Interoperability endpoints

  • Direct secure messaging: kristie.branscum@bhcawp.eclinicaldirectplus.com

Organizations & group practices 7

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.

Hospital & facility affiliations 3

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": "1371513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487030400000",
    "number": "1821437302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 819",
            "city": "CALICO ROCK",
            "state": "AR",
            "postal_code": "725190819",
            "telephone_number": "870-297-2475",
            "fax_number": "870-297-4380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 GRASSE ST",
            "city": "CALICO ROCK",
            "state": "AR",
            "postal_code": "72519",
            "telephone_number": "870-297-2475",
            "fax_number": "870-297-4380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANSCUM",
        "first_name": "KRISTIE",
        "middle_name": "D",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-18",
        "last_updated": "2017-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A003892",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "5UU88",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "PO1210713",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "199752758",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Calico Rock, AR

Sources for this page

Verify at the official NPI Registry.