Individual provider Active NPI

Madison Stewart, DNP, APRN, CPNP-PC

  • Pediatric Nurse Practitioner
  • Fort Smith, AR
National Provider Identifier
1821781766
Registry record updated May 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
224500 Issued in AR
Practice address
5901 Riley Park Dr Ste B
Fort Smith, AR 72916-6104
Phone
(479) 763-3050
NPI assigned
May 26, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 224500 AR Primary

Addresses

Primary practice location

5901 Riley Park Dr Ste B
Fort Smith, AR 72916-6104

Mailing address

520 Luther Ave
Mountain View, AR 72560-9732
Phone (870) 213-6029

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
224500ARMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Pediatrics PLLC PastSince May 28, 2023 Accepting new patients
Premier Pediatrics PastSince May 28, 2023 Accepting new patients

Organizations & group practices 2

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": "1685059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685059200000",
    "number": "1821781766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 LUTHER AVE",
            "city": "MOUNTAIN VIEW",
            "state": "AR",
            "postal_code": "725609732",
            "telephone_number": "870-213-6029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 RILEY PARK DR STE B",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729166104",
            "telephone_number": "479-763-3050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "MADISON",
        "credential": "DNP, APRN, CPNP-PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-26",
        "last_updated": "2023-05-26",
        "certification_date": "2023-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "AR",
            "license": "224500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Smith, AR

Sources for this page

Verify at the official NPI Registry.