Individual provider Active NPI

Tosha Marie Applegate, APRN- CNP

  • Family Nurse Practitioner
  • Mountain Home, AR
National Provider Identifier
1891346862
Registry record updated Feb 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
120747 Issued in AR
Practice address
19 Medical PLZ
Mountain Home, AR 72653-2962
Phone
(870) 580-0283
Fax
(870) 580-0297
NPI assigned
Sep 21, 2019
Last updated
Feb 1, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2024

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 120747 AR Primary

Addresses

Primary practice location

19 Medical PLZ
Mountain Home, AR 72653-2962

Mailing address

19 Medical PLZ
Mountain Home, AR 72653-2962
Phone (870) 580-0283

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
I20210913000551 AR Practitioner - Nurse Practitioner 4981000254 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vitality Plus LLCGroup PAC ID 8325460678, 2 clinicians

Practice addresses (Care Compare)

19 Medical PLZ
Mountain Home, AR 72653-2962
Phone (870) 580-0283

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
120747ARMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vitality Plus LLC CurrentSince Oct 24, 2023 Accepting new patients
Baxter Regional Enterprises, LLC CurrentSince Jan 1, 2022 Accepting new patients
Vitality Plus Infusion Center, LLC CurrentSince Oct 15, 2023 Accepting new patients
Baxter Regional Enterprises, LLC CurrentSince Jan 1, 2022 Accepting new patients
Ozark Pelvic Health, LLC PastSince Mar 26, 2023 Accepting new patients

Locations

15 Green Valley Dr
#100
Mountain Home, AR 72653
Phone (870) 701-0490

19 Medical Plz
Mountain Home, AR 72653
Phone (870) 232-0885

19 Medical Plz
Ste 10
Mountain Home, AR 72653
Phone (870) 232-0948

19 Medical Plz
Ste 30
Mountain Home, AR 72653
Phone (870) 232-0885

628 Hospital Dr
Ste 112
Mountain Home, AR 72653
Phone (870) 425-8288

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1569024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706745600000",
    "number": "1891346862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 MEDICAL PLZ",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726532962",
            "telephone_number": "870-580-0283",
            "fax_number": "870-580-0297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 MEDICAL PLZ",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726532962",
            "telephone_number": "870-580-0283",
            "fax_number": "870-580-0297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "APPLEGATE",
        "first_name": "TOSHA",
        "middle_name": "MARIE",
        "credential": "APRN- CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-21",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "120747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain Home, AR

Sources for this page

Verify at the official NPI Registry.