Individual provider Active NPI

Rachel Choate, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Conway, AR
National Provider Identifier
1962862557
Registry record updated Feb 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A004621 Issued in AR
Practice address
2425 Dave Ward Dr
Suite 202
Conway, AR 72034-8686
Phone
(501) 328-5050
Fax
(501) 328-2131
NPI assigned
Feb 25, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2016

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 A004621 AR Primary

Addresses

Primary practice location

2425 Dave Ward Dr
Suite 202
Conway, AR 72034-8686

Mailing address

2425 Dave Ward Dr
Suite 202
Conway, AR 72034-8686
Phone (501) 328-5050

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
I20161206001615 AR Practitioner - Nurse Practitioner 2163720152 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Russell Dermatology of Conway, PLLCGroup PAC ID 2961528807, 4 clinicians

Practice addresses (Care Compare)

2425 Dave Ward Dr
Suite 202
Conway, AR 72034-8680
Phone 5013285050301

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.3 of 100Reported as group
Quality
84.61
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
A004621ARMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Russell Dermatology of Conway, PLLC CurrentSince Oct 1, 2016 Accepting new patients

Locations

2425 Dave Ward Dr
Ste 202
Conway, AR 72034
Phone (501) 328-5050

Organizations & group practices 1

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.

Hospital & facility affiliations 6

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": "1456358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456444800000",
    "number": "1962862557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2425 DAVE WARD DR",
            "address_2": "SUITE 202",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720348686",
            "telephone_number": "501-328-5050",
            "fax_number": "501-328-2131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 DAVE WARD DR",
            "address_2": "SUITE 202",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720348686",
            "telephone_number": "501-328-5050",
            "fax_number": "501-328-2131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOATE",
        "first_name": "RACHEL",
        "name_prefix": "Mrs.",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-25",
        "last_updated": "2016-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A004621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conway, AR

Sources for this page

Verify at the official NPI Registry.