Individual provider Active NPI

Nickolas Allen Rhoades

  • Nurse Practitioner
  • Harrison, AR
National Provider Identifier
1821637927
Registry record updated May 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
233889 Issued in AR
Practice address
4318 US-65
Harrison, AR 72601
Phone
(870) 233-9960
Fax
(870) 647-5223
NPI assigned
Jan 6, 2020
Last updated
May 19, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 233889 AR Primary

Addresses

Primary practice location

4318 US-65
Harrison, AR 72601

Mailing address

PO Box 23120
Little Rock, AR 72221-3120
Phone (870) 233-9960

Other identifiers 1

IdentifierTypeStateIssuer
345961758MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, AR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200403001966 IL Practitioner - Nurse Practitioner 2668801143 Reassigns benefits to 2 organizations
I20250820003885 AR Practitioner - Nurse Practitioner 2668801143 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

Practice addresses (Care Compare)

4318 Hwy 65 S
Harrison, AR 72601-9487
Phone (844) 215-0731

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
233889ARMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Millennium Pain Center LLC CurrentSince Mar 2, 2020 Accepting new patients
Pain Treatment Centers of America PLLC CurrentSince Aug 4, 2025 Accepting new patients
Pain Treatment Centers of America, PLLC CurrentSince Aug 4, 2025 Accepting new patients
Pain Treatment Centers of America, PLLC Past Accepting new patients

Locations

1215 Sidney St
Batesville, AR 72501
Phone (870) 262-1541

4318 Highway 65 S
Harrison, AR 72601
Phone (870) 414-4040

4020 Richards Rd
Ste A
North Little Rock, AR 72117
Phone (501) 900-8763

1015 S Mercer Ave
Bloomington, IL 61701
Phone (309) 662-0088

2406 E Empire St
Bloomington, IL 61704
Phone (309) 662-4321

7435 W Talcott Ave
Chicago, IL 60631
Phone (773) 467-9977

11350 McCormick Rd
Ste 501
Hunt Valley, MD 21031
Phone (410) 329-1071

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1578268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779148800000",
    "number": "1821637927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23120",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722213120",
            "telephone_number": "870-233-9960",
            "fax_number": "888-630-8885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4318 US-65",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "72601",
            "telephone_number": "870-233-9960",
            "fax_number": "870-647-5223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RHOADES",
        "first_name": "NICKOLAS",
        "middle_name": "ALLEN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-06",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AR",
            "license": "233889",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "345961758",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrison, AR

Sources for this page

Verify at the official NPI Registry.