Individual provider Active NPI

Olivia Bayne, APRN FNP-C

  • Nurse Practitioner
  • Mena, AR
National Provider Identifier
1922844257
Registry record updated Jul 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
229713 Issued in AR
Practice address
1103 College Dr
Mena, AR 71953-2519
Phone
(479) 394-1414
NPI assigned
Jul 5, 2024
Last updated
Jul 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2024

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 229713 AR Primary

Addresses

Primary practice location

1103 College Dr
Mena, AR 71953-2519

Mailing address

1103 College Dr
Mena, AR 71953-2519
Phone (479) 394-1414

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
I20240808001719 AR Practitioner - Nurse Practitioner 3678010675 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mena Hospital CommissionGroup PAC ID 8527057678, shared by 6 NPIs, 13 clinicians
Fands Physical Therapy, IncGroup PAC ID 7810898459, 217 clinicians

Practice addresses (Care Compare)

1103 College Dr
Mena, AR 71953-2519
Phone 47939414141010

1414 Hwy 71 N
Alma, AR 72921-4723
Phone (479) 632-0321

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mena Family Health Center CurrentSince Jul 22, 2024 Accepting new patients
Mena Hospital Commission Past Accepting new patients

Locations

1103 College Dr
Mena, AR 71953
Phone (479) 394-1414

400 Crestwood Cir
Ste L
Mena, AR 71953
Phone (479) 243-2103

Organizations & group practices 4

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": "1720137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720137600000",
    "number": "1922844257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 COLLEGE DR",
            "city": "MENA",
            "state": "AR",
            "postal_code": "719532519",
            "telephone_number": "479-394-1414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 COLLEGE DR",
            "city": "MENA",
            "state": "AR",
            "postal_code": "719532519",
            "telephone_number": "479-394-1414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAYNE",
        "first_name": "OLIVIA",
        "credential": "APRN FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-05",
        "last_updated": "2024-07-05",
        "certification_date": "2024-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AR",
            "license": "229713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mena, AR

Sources for this page

Verify at the official NPI Registry.