Individual provider Active NPI

Amanda McClure

  • Adult Health Nurse Practitioner
  • Fayetteville, AR
National Provider Identifier
1922566785
Registry record updated Jan 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
A006011 Issued in AR
Practice address
3344 N Futrall Dr
Fayetteville, AR 72703-4057
Phone
(479) 521-8200
Fax
(479) 582-7329
NPI assigned
Mar 11, 2019
Last updated
Jan 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X A006011 AR
Adult Health Nurse Practitioner 363LA2200X A006011 AR Primary
Gerontology Nurse Practitioner 363LG0600X A006011 AR

Addresses

Primary practice location

3344 N Futrall Dr
Fayetteville, AR 72703-4057

Mailing address

PO Box 1523
Fayetteville, AR 72702-1523
Phone (479) 571-6038

Other practice location 1

6801 Rogers Ave Fl 3
Fort Smith, AR 72903-4067
Phone (479) 274-4000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address amanda.mcclure@mana.eclinicaldirectplus.com Direct

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
I20190402002522 AR Practitioner - Nurse Practitioner 1759622665 Reassigns benefits to 3 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
Mercy Clinic Fort Smith CommunitiesGroup PAC ID 3870668510, shared by 4 NPIs, 361 clinicians

Practice addresses (Care Compare)

3344 N Futrall Dr
Fayetteville, AR 72703-4057
Phone (479) 521-8200

6801 Rogers Ave
FL 3
Fort Smith, AR 72903-4067
Phone (479) 274-3500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A006011ARMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Associates of Northwest Arkansas PA CurrentSince Jan 2, 2025 Accepting new patients
Mercy Clinic Fort Smith Communities CurrentSince Apr 27, 2021 Accepting new patients
Mercy Clinic Fort Smith Communities CurrentSince May 6, 2019 Accepting new patients
Medical Associates of Northwest Arkansas, PA Current Accepting new patients
Mercy Clinic Fort Smith Communities CurrentSince May 6, 2019 Accepting new patients
Medical Associates of Northwest Arkansas PA CurrentSince Jan 2, 2025 Accepting new patients
Medical Associates of Northwest Arkansas PA Past Accepting new patients
Medical Associates of Northwest Arkansas PA Past Accepting new patients
Medical Associates of Northwest Arkansas PA Past Accepting new patients

Locations

3344 N Futrall Dr
Fayetteville, AR 72703
Phone (479) 582-7213

3501 We Knight Dr
Fort Smith, AR 72903
Phone (479) 709-6700

6801 Rogers Ave
Fl 3
Fort Smith, AR 72903
Phone (479) 274-4000

7001 Rogers Ave
Ste 200
Fort Smith, AR 72903
Phone (479) 314-4620

Interoperability endpoints

  • Direct secure messaging: amcclure1025835@directc.mercy.net

Organizations & group practices 9

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.

Hospital & facility affiliations 1

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": "1552262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735862400000",
    "number": "1922566785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1523",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727021523",
            "telephone_number": "479-571-6038",
            "fax_number": "479-582-0222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3344 N FUTRALL DR",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727034057",
            "telephone_number": "479-521-8200",
            "fax_number": "479-582-7329"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6801 Rogers Ave Fl 3",
            "address_purpose": "LOCATION",
            "city": "Fort Smith",
            "state": "AR",
            "postal_code": "729034067",
            "country_code": "US",
            "telephone_number": "479-274-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCLURE",
        "first_name": "AMANDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-11",
        "last_updated": "2025-01-03",
        "certification_date": "2025-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AR",
            "license": "A006011",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AR",
            "license": "A006011",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "AR",
            "license": "A006011",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amanda.mcclure@mana.eclinicaldirectplus.com",
            "affiliation": "N",
            "endpointDescription": "Provider's direct address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "3344 N Futrall Dr",
            "city": "Fayetteville",
            "state": "AR",
            "country_code": "US",
            "postal_code": "727034057",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fayetteville, AR

Sources for this page

Verify at the official NPI Registry.