Individual provider Active NPI

Gina Danley Null, APN, MSN, ANP-BC,OCN

  • Adult Health Nurse Practitioner
  • Fort Smith, AR
National Provider Identifier
1851614648
Registry record updated Jul 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
A03331 Issued in AR
Practice address
7001 Rogers Ave Ste 200
Fort Smith, AR 72903-4022
Phone
(479) 314-7490
Fax
(479) 314-7494
NPI assigned
Mar 8, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X A03331 AR Primary

Addresses

Primary practice location

7001 Rogers Ave Ste 200
Fort Smith, AR 72903-4022

Mailing address

7001 Rogers Ave Ste 200
Fort Smith, AR 72903-4022
Phone (479) 314-7490

Other practice location 1

6801 Rogers Ave Ste 202
Fort Smith, AR 72903-4067
Phone (918) 749-8765

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110531000663 AR Practitioner - Nurse Practitioner 5698952638 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Clinic Fort Smith CommunitiesGroup PAC ID 3870668510, 361 clinicians

Practice addresses (Care Compare)

7301 Rogers Ave
Fort Smith, AR 72903-4100
Phone (479) 314-5175

Hospital & facility affiliations

  • Mercy Hospital Fort Smith Hospital, Fort Smith, AR, CCN 040062
  • Mercy Hospital Waldron Hospital, Waldron, AR, CCN 041305
  • Mercy Hospital Booneville Hospital, Booneville, AR, CCN 041318
  • Mercy Hospital Paris Hospital, Paris, AR, CCN 041300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
A03331ARMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Fort Smith Communities CurrentSince Apr 13, 2011 Accepting new patients
Mercy Clinic Fort Smith Communities CurrentSince Apr 13, 2011 Accepting new patients
Mercy Hospital Fort Smith Past Accepting new patients

Locations

6801 Rogers Ave
Fort Smith, AR 72903
Phone (479) 314-6000

7301 Rogers Ave
Fort Smith, AR 72903
Phone (479) 314-4600

6801 Rogers Ave
Ste 202
Fort Smith, AR 72903
Phone (479) 573-3947

7001 Rogers Ave
Ste 200
Fort Smith, AR 72903
Phone (479) 314-4620

2713 S 74th St
Ste 104
Fort Smith, AR 72903
Phone (479) 478-7059

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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1268006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657584000000",
    "number": "1851614648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7001 ROGERS AVE STE 200",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729034022",
            "telephone_number": "479-314-7490",
            "fax_number": "479-314-7494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7001 ROGERS AVE STE 200",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729034022",
            "telephone_number": "479-314-7490",
            "fax_number": "479-314-7494"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6801 Rogers Ave Ste 202",
            "address_purpose": "LOCATION",
            "city": "Fort Smith",
            "state": "AR",
            "postal_code": "729034067",
            "country_code": "US",
            "telephone_number": "918-749-8765",
            "fax_number": "918-392-2155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NULL",
        "first_name": "GINA",
        "middle_name": "DANLEY",
        "name_prefix": "Mrs.",
        "credential": "APN, MSN, ANP-BC,OCN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-08",
        "last_updated": "2022-07-12",
        "certification_date": "2022-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AR",
            "license": "A03331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Smith, AR

Sources for this page

Verify at the official NPI Registry.