Barbara Faye Ellis, APRN

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

AG01200007 Issued in AR

Practice address

4250 Brewer Rd
Edgemont, AR 72044-9539

Phone

(501) 626-4043

NPI assigned

Jan 7, 2020

Last updated

Jan 7, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hot Springs Interventional Pain Management PAGroup PAC ID 8527158880, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Hot Springs Interventional Pain Management PA

  dba Advanced Interventional Pain Management

  • Interventional Pain Medicine Physician
  • Hot Springs, AR
  • NPI 1376733824
  Medicare reassignment Care Compare group NPD
• Arkansas Health Group

  dba Baptist Health Supportive Medicine

  • Physical Medicine & Rehabilitation Physician
  • Little Rock, AR
  • NPI 1316215338
  Medicare reassignment NPD
• Arkansas Health Group

  dba Baptist Health Surgical Clinic-Stuttgart

  • Surgery Physician
  • Stuttgart, AR
  • NPI 1952840555
  NPD
• Pinnacle Allergy Clinic, PLLC

  • Clinic/Center
  • Little Rock, AR
  • NPI 1346753332
  NPD

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

{
    "created_epoch": "1578355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578355200000",
    "number": "1881233914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4250 BREWER RD",
            "city": "EDGEMONT",
            "state": "AR",
            "postal_code": "720449539",
            "telephone_number": "501-626-4043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4250 BREWER RD",
            "city": "EDGEMONT",
            "state": "AR",
            "postal_code": "720449539",
            "telephone_number": "501-626-4043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "BARBARA",
        "middle_name": "FAYE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-07",
        "last_updated": "2020-01-07",
        "certification_date": "2020-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "AR",
            "license": "AG01200007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "dreamteam5552@yahoo.com",
            "affiliation": "N",
            "address_1": "4250 Brewer Rd",
            "city": "Edgemont",
            "state": "AR",
            "country_code": "US",
            "postal_code": "720449539",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Camryn Carlton

• Gerontology Nurse Practitioner in Edgemont, AR
• Providers in Edgemont, AR by specialty
• Gerontology Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.