Individual provider Active NPI

Raelene A Mapes, DO

  • Pediatrics Physician
  • Van Buren, AR
National Provider Identifier
1831186741
Registry record updated Nov 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
E2256 Issued in AR
Practice address
209 Pointer TRL W
Van Buren, AR 72956-2238
Phone
(479) 474-3399
Fax
(479) 474-2338
NPI assigned
Oct 5, 2005
Last updated
Nov 22, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X E2256 AR Primary

Addresses

Primary practice location

209 Pointer TRL W
Van Buren, AR 72956-2238

Mailing address

PO Box 11450
Belfast, ME 04915-4005
Phone (479) 709-1924

Other identifiers 2

IdentifierTypeStateIssuer
100218960AMedicaidOK
216390003MedicaidAR

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031216000161 AR Practitioner - Pediatric Medicine 2062319304 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
E2256ARMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Services Pediatrics CurrentSince Nov 1, 2018 Accepting new patients
Baptist Health Services CurrentSince Nov 1, 2018 Accepting new patients
Van Buren Hma, LLC Past Accepting new patients

Locations

937 Highway 64 E
Alma, AR 72921
Phone (479) 632-3855

1120 Lexington Ave
Fort Smith, AR 72901
Phone (479) 709-7260

1500 Dodson Ave
Ste 260A
Fort Smith, AR 72901
Phone (479) 709-7337

1500 Dodson Ave
Ste 285B
Fort Smith, AR 72901
Phone (479) 709-7025

1500 Dodson Ave
Ste 60
Fort Smith, AR 72901
Phone (479) 709-7325

1500 Dodson Ave
Ste 65
Fort Smith, AR 72901
Phone (479) 441-5475

600 Lexington Ave
Fort Smith, AR 72901
Phone (479) 709-7025

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

209 Pointer Trl W
Van Buren, AR 72956
Phone (479) 471-4290

209 Pointer Trl W
Ste A
Van Buren, AR 72956
Phone (479) 474-1100

Interoperability endpoints

  • Direct secure messaging: rmapes241754@direct.baptist-healthar.org

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1128470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479772800000",
    "number": "1831186741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11450",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049154005",
            "telephone_number": "479-709-1924",
            "fax_number": "479-709-7499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 POINTER TRL W",
            "city": "VAN BUREN",
            "state": "AR",
            "postal_code": "729562238",
            "telephone_number": "479-474-3399",
            "fax_number": "479-474-2338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAPES",
        "first_name": "RAELENE",
        "middle_name": "A",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-05",
        "last_updated": "2016-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AR",
            "license": "E2256",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100218960A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "216390003",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Buren, AR

Sources for this page

Verify at the official NPI Registry.