Organization Active NPI

Everwell Collective PLLC

  • Family Nurse Practitioner
  • Van Buren, AR
National Provider Identifier
1912838947
Registry record updated May 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
EVERWELL COLLECTIVE PLLC
Practice address
1203 Lisa LN
Van Buren, AR 72956-2749
Phone
(479) 653-0493
Fax
(479) 653-0493
NPI assigned
May 27, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2026

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

Authorized official

Name
Stephanie Marcom, MSN, APRN, FNP-CNPI 1730944679
Title
Family Nurse Practitioner
Phone
(479) 653-0493

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X Primary
Primary Care Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP2300X

Addresses

Primary practice location

1203 Lisa LN
Van Buren, AR 72956-2749

Mailing address

1203 Lisa LN
Van Buren, AR 72956-2749
Phone (479) 653-0493

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1779840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779840000000",
    "number": "1912838947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1203 LISA LN",
            "city": "VAN BUREN",
            "state": "AR",
            "postal_code": "729562749",
            "telephone_number": "479-653-0493",
            "fax_number": "479-653-0493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 LISA LN",
            "city": "VAN BUREN",
            "state": "AR",
            "postal_code": "729562749",
            "telephone_number": "479-653-0493",
            "fax_number": "479-653-0493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERWELL COLLECTIVE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-27",
        "last_updated": "2026-05-27",
        "certification_date": "2026-05-27",
        "status": "A",
        "authorized_official_last_name": "MARCOM",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "479-653-0493",
        "authorized_official_credential": "MSN, APRN, FNP-C"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Buren, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.