NPIMap

Individual provider Active NPI

Andrew M Bates, APN

  • Family Nurse Practitioner
  • Little Rock, AR
National Provider Identifier
1841733300
Registry record updated Sep 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A004957 Issued in AR
Practice address
14524 Cantrell Rd
Little Rock, AR 72223-4702
Phone
(501) 868-4400
NPI assigned
Nov 30, 2016
Last updated
Sep 24, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2019

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 A004957 AR Primary

Addresses

Primary practice location

14524 Cantrell Rd
Little Rock, AR 72223-4702

Mailing address

1106 S Pine St Ste B
Cabot, AR 72023-3819
Phone (501) 743-5958

Other practice location 1

1106 S Pine St Ste B
Cabot, AR 72023-3819
Phone (501) 743-5958

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
I20170104001863 AR Practitioner - Nurse Practitioner 6507147634 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shiloh Emergency Group PLLCGroup PAC ID 6901228154, 59 clinicians
Greenbrier Emergency Services, Inc.Group PAC ID 2668377359, 53 clinicians

Practice addresses (Care Compare)

2 Saint Vincent Cir
Little Rock, AR 72205-5423
Phone (501) 552-3000

3333 Springhill Dr
North Little Rock, AR 72117-2922
Phone (501) 202-3000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Shiloh Emergency Group PLLC CurrentSince Jun 17, 2020 Accepting new patients
St. Vincent Infirmary Medical Center Current Accepting new patients
Arkansas Health Group CurrentSince Sep 30, 2018 Accepting new patients
Greenbrier Emergency Services, Inc. CurrentSince Nov 1, 2019 Accepting new patients
St Vincent Infirmary Medical Center CurrentSince Jul 22, 2018 Accepting new patients
St Vincent Infirmary Medical Center CurrentSince Jul 22, 2018 Accepting new patients
Arkansas Health Group CurrentSince Sep 30, 2018 Accepting new patients

Locations

10100 Kanis Rd
Little Rock, AR 72205
Phone (501) 255-6000

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

2 Saint Vincent Cir
Little Rock, AR 72205
Phone (501) 552-2680

3333 Springhill Dr
North Little Rock, AR 72117
Phone (501) 202-3000

2215 Wildwood Ave
Sherwood, AR 72120
Phone (501) 522-7100

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": "1480464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569283200000",
    "number": "1841733300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 S PINE ST STE B",
            "city": "CABOT",
            "state": "AR",
            "postal_code": "720233819",
            "telephone_number": "501-743-5958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14524 CANTRELL RD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722234702",
            "telephone_number": "501-868-4400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1106 S Pine St Ste B",
            "address_purpose": "LOCATION",
            "city": "Cabot",
            "state": "AR",
            "postal_code": "720233819",
            "country_code": "US",
            "telephone_number": "501-743-5958",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BATES",
        "first_name": "ANDREW",
        "middle_name": "M",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-11-30",
        "last_updated": "2019-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A004957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.