Individual provider Active NPI

Desiree D Herman, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Russellville, AR
National Provider Identifier
1932591179
Registry record updated Apr 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
215223 Issued in AR
Practice address
812 N Arkansas Ave
Russellville, AR 72801-3867
Phone
(479) 449-1085
NPI assigned
Feb 25, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2026

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 215223 AR Primary

Addresses

Primary practice location

812 N Arkansas Ave
Russellville, AR 72801-3867

Mailing address

812 N Arkansas Ave
Russellville, AR 72801-3867
Phone (479) 449-1085

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
I20210712002147 AR Practitioner - Nurse Practitioner 5395147433 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fast Pace Mississippi PLLCGroup PAC ID 3678832029, 192 clinicians

Practice addresses (Care Compare)

32 S Broadview St
Greenbrier, AR 72058-9601
Phone (501) 456-4001

3600 Richards Rd
North Little Rock, AR 72117-2921
Phone (212) 734-6621

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Fast Pace Mississippi, PLLC CurrentSince Dec 30, 2024 Accepting new patients
Prestige Spine Interventional Pain Management, LLC CurrentSince May 1, 2022 Accepting new patients
Upperline Healthcare, PC CurrentSince Sep 1, 2025 Accepting new patients
Upperline Healthcare, PC CurrentSince Sep 1, 2025 Accepting new patients
Fast Pace Mississippi, PLLC CurrentSince Dec 30, 2024 Accepting new patients

Locations

650 United Dr
Ste 340
Conway, AR 72032
Phone (501) 328-6791

1020 Highway 62 E
Mountain Home, AR 72653
Phone (870) 337-2171

200 S 20th St
Ste B
Rogers, AR 72758
Phone (479) 636-9393

812 N Arkansas Ave
Russellville, AR 72801
Phone (479) 449-1085

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JFICCD
  • Direct secure messaging: dherman@landmarkhealth-direct.org

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1424822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776297600000",
    "number": "1932591179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "812 N ARKANSAS AVE",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728013867",
            "telephone_number": "479-449-1085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 N ARKANSAS AVE",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728013867",
            "telephone_number": "479-449-1085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERMAN",
        "first_name": "DESIREE",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-25",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "215223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Russellville, AR

Sources for this page

Verify at the official NPI Registry.