Individual provider Active NPI

Nathaniel C Blanton, APRN

  • Nurse Practitioner
  • Mountain Home, AR
National Provider Identifier
1891308839
Registry record updated Aug 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
212607 Issued in AR
Practice address
901 Burnett Dr
Mountain Home, AR 72653-2908
Phone
(870) 425-9120
NPI assigned
Aug 28, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 212607 AR Primary

Addresses

Primary practice location

901 Burnett Dr
Mountain Home, AR 72653-2908

Mailing address

901 Burnett Dr
Mountain Home, AR 72653-2908
Phone (870) 425-9120

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
I20200915003170 AR Practitioner - Nurse Practitioner 4082032578 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ozark Surgical GroupGroup PAC ID 6901902642, 9 clinicians

Practice addresses (Care Compare)

673 N Main St
Suite D
Salem, AR 72578-9451
Phone (870) 425-9120

901 Burnett Dr
Mountain Home, AR 72653-2908
Phone (870) 425-9120

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ozark Surgical Group CurrentSince Sep 28, 2020 Accepting new patients

Locations

907 Burnett Dr
Mountain Home, AR 72653
Phone (870) 269-3447

624 Hospital Dr
Mountain Home, AR 72653
Phone (870) 424-1000

901 Burnett Dr
Mountain Home, AR 72653
Phone (870) 425-9120

673 N Main St
Ste D
Salem, AR 72576
Phone (870) 425-9120

Interoperability endpoints

  • Direct secure messaging: nathanielblanton@osg.allscriptsdirect.net
  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/0005626

Organizations & group practices 1

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 2

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": "1598572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598572800000",
    "number": "1891308839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 BURNETT DR",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726532908",
            "telephone_number": "870-425-9120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 BURNETT DR",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726532908",
            "telephone_number": "870-425-9120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANTON",
        "first_name": "NATHANIEL",
        "middle_name": "C",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-08-28",
        "last_updated": "2020-08-28",
        "certification_date": "2020-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AR",
            "license": "212607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain Home, AR

Sources for this page

Verify at the official NPI Registry.