Bradley Wayne Patterson, APRN-CNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

213247 Issued in AR

Practice address

1553 W Collin Raye Dr
De Queen, AR 71832-3801

Phone

(870) 584-3000

Fax

(870) 584-3003

NPI assigned

Oct 16, 2020

Last updated

Oct 16, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Healthcare Express, LLPGroup PAC ID 9739131442, 68 clinicians

Randy D Walker, MD, PLLCGroup PAC ID 0345468724, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sevier County Medical Center Hospital, De Queen, AR, CCN 041333
• Howard Memorial Hospital Hospital, Nashville, AR, CCN 041311
• Christus St Michael Health System Hospital, Texarkana, TX, CCN 450801

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/15024/brand/1/csg/1/fhir/r4
• FHIR API: https://fhir4.healow.com/fhir/r4/FEFHCA

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.

• Healthcare Express, LLP

  dba HealthCare Express

  • Multi-Specialty Clinic/Center
  • Texarkana, AR
  • NPI 1780029892
  Medicare reassignment Care Compare group NPD
• Randy D. Walker, M.D., P.L.L.C.

  • Family Medicine Physician
  • De Queen, AR
  • NPI 1114185121
  Medicare reassignment Care Compare group NPD
• Access Medical Clinic Arkansas LLC

  • Rural Health Clinic/Center
  • Salem, AR
  • NPI 1578007647
  Medicare reassignment
• Access Medical Clinic Arkansas LLC

  • Rural Health Clinic/Center
  • Lamar, AR
  • NPI 1073004891
  NPD
• Access Medical Clinic Arkansas LLC

  • Rural Health Clinic/Center
  • Dierks, AR
  • NPI 1295317295
  NPD
• Access Medical Clinic Arkansas LLC

  • Rural Health Clinic/Center
  • Camden, AR
  • NPI 1508563362
  NPD
• Healthcare Express, LLP

  dba HealthCare Express

  • Urgent Care Clinic/Center
  • Sherwood, AR
  • NPI 1043714694
  NPD
• Healthcare Express, LLP

  dba Healthcare Express

  • Physical Therapy Clinic/Center
  • Texarkana, TX
  • NPI 1881101996
  NPD
• Healthcare Express, LLP

  • Family Medicine Physician
  • Wake Village, TX
  • NPI 1790920593
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Howard Memorial Hospital

  • Critical Access Hospital
  • Nashville, AR
  • NPI 1851484695
  Care Compare affiliation
• Sevier County Medical Center

  • Critical Access Hospital
  • De Queen, AR
  • NPI 1386367506
  Care Compare affiliation
• Christus Health Ark-la-Tex

  dba Christus St. Michael Health System

  • General Practice Physician
  • Texarkana, TX
  • NPI 1184623266

  Hospital

  Care Compare affiliation
• Christus Health Ark-la-Tex

  dba CHRISTUS St. Michael Health System

  • General Acute Care Hospital
  • Texarkana, TX
  • NPI 1295736734
  Care Compare affiliation

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

{
    "created_epoch": "1602806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602806400000",
    "number": "1932707346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 740",
            "city": "DE QUEEN",
            "state": "AR",
            "postal_code": "718320740",
            "telephone_number": "870-584-3000",
            "fax_number": "870-584-3003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1553 W COLLIN RAYE DR",
            "city": "DE QUEEN",
            "state": "AR",
            "postal_code": "718323801",
            "telephone_number": "870-584-3000",
            "fax_number": "870-584-3003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "167 School Drive",
            "address_purpose": "LOCATION",
            "city": "De Queen",
            "state": "AR",
            "postal_code": "718327183",
            "country_code": "US",
            "telephone_number": "870-584-3000",
            "fax_number": "870-584-3003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "BRADLEY",
        "middle_name": "WAYNE",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-16",
        "last_updated": "2020-10-16",
        "certification_date": "2020-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AR",
            "license": "213247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tabitha Lanette Ochoa, APRN
• Wilma Suzanne Olvey
• Kara Lynn Osuna, APRN
• Angelica Padilla
• Sarah Parker
• Peak Therapy Services, LLC
• Zachary W Pinson
• Laken Marie Plunk, P.T.A.
• Abbygail Ponce, PTA
• Pruetts Food Inc (Pruetts Food-Pharmacy#3)

• Nurse Practitioner in De Queen, AR
• Providers in De Queen, AR by specialty
• Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.