Individual provider Active NPI

Elizabeth Bartels McClain, RN, MSN, APN

  • Family Nurse Practitioner
  • Fayetteville, AR
National Provider Identifier
1881899771
Registry record updated Mar 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A02913ANP Issued in AR
Practice address
1280 E Stearns St
Ste 5
Fayetteville, AR 72703-6241
Phone
(479) 445-6460
Fax
(479) 445-6719
NPI assigned
Jun 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2011

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 A02913ANP AR Primary

Addresses

Primary practice location

1280 E Stearns St
Ste 5
Fayetteville, AR 72703-6241

Mailing address

1528 Freedom PL
Springdale, AR 72762-9328
Phone (479) 306-4463

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
I20091201000216 AR Practitioner - Nurse Practitioner 6709925977 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A02913ANPARMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Roller Weight Loss Institute,Inc. CurrentSince Mar 28, 2011 Accepting new patients
Roller Weight Loss Institute Inc CurrentSince Mar 28, 2011 Accepting new patients

Locations

1695 E Rainforest Rd
Fayetteville, AR 72703
Phone (479) 445-6460

1695 E Rainforest Rd
Ste 2
Fayetteville, AR 72703
Phone (479) 445-6460

1280 E Stearns St
Ste 5
Fayetteville, AR 72703
Phone (479) 445-6460

Interoperability endpoints

  • Direct secure messaging: rollerweightlossandadvancedsurgery.elizabethmcclain@118248.advancedmd-direct.com

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": "1182211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299456000000",
    "number": "1881899771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1528 FREEDOM PL",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727629328",
            "telephone_number": "479-306-4463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1280 E STEARNS ST",
            "address_2": "STE 5",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727036241",
            "telephone_number": "479-445-6460",
            "fax_number": "479-445-6719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLAIN",
        "first_name": "ELIZABETH",
        "middle_name": "BARTELS",
        "name_prefix": "Mrs.",
        "credential": "RN, MSN, APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-19",
        "last_updated": "2011-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A02913ANP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, AR

Sources for this page

Verify at the official NPI Registry.