Pauline Okwuosa, NURSE PRACTITIONER
Individual provider Active NPI Family Nurse Practitioner · Alexander, AR
NPI 1962903054 · NPPES record last updated Jan 2, 2025
Key facts
- NPI
- 1962903054
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- A005540 (AR)
- Practice address
- PO Box 193
Alexander, AR 72002-0193 - Phone
- (501) 231-3595
- NPI assigned
- Feb 23, 2018
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 26
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Jefferson Comprehensive Care System, Inc
Abode Care Partners Al VB LLC
SHC Medical Partners of Arkansas LLC
Practice addresses (Care Compare)
1101 S Tennessee St
Pine Bluff, AR 71601-5801
1101 Tennessee St
Pine Bluff, AR 71601-5801
200 River Market Ave
Suite 100
Little Rock, AR 72201-1762
Phone (501) 267-9870
Hospital & facility affiliations
- Stat Home Health - Cenark, LLC
Merit-based Incentive Payment System (MIPS)
- Final score
- 65.27 of 100
- Quality
- 45.09
- Improvement activities
- 40
- Cost
- 66.23
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230207003247 | AR | Practitioner - Nurse Practitioner | 6204183783 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A005540 | AR | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jefferson Comprehensive Care System, Inc | Current | Accepting new patients | |
| Abode Care Partners LTC VB, LLC | Current |
Accepting new patients | |
| Icp Arkansas Aco Billing LLC | Current |
Accepting new patients | |
| Abode Care Partners Al VB, LLC | Current |
Accepting new patients | |
| Jefferson Comprehensive Care System, Inc | Current |
Accepting new patients | |
| Abode Care Partners Al VB, LLC | Current |
Accepting new patients | |
| Abode Care Partners LTC VB, LLC | Current |
Accepting new patients | |
| Jefferson Comprehensive Care System, Inc | Current |
Accepting new patients | |
| SHC Medical Partners of Arkansas, LLC | Current |
Accepting new patients |
Locations
200 River Market Ave
Ste 500
Little Rock, AR 72201
Phone (501) 492-0099
200 River Market Ave
Ste 100
Little Rock, AR 72201
Phone (501) 267-9870
1101 S Tennessee St
Pine Bluff, AR 71601
Phone (870) 543-2300
805 N Whittington Pkwy
Ste 400
Louisville, KY 40222
Phone (502) 272-3438
805 N Whittington Pkwy
Northfield, KY 40222
Phone (502) 627-7000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | A005540 | AR | Yes |
Addresses
Primary practice location
PO Box 193
Alexander, AR 72002-0193
Mailing address
PO Box 193
Alexander, AR 72002-0193
Other providers in Alexander, AR
- Joe David May
- Morgan McDonald
- Marquita S. McField
- Marna Musteen
- Nurse Practitioners of Arkansas
- Keeanndase Pace
- Parkway Drug Operations Inc
- Parkway Drug Operations Inc
- Susan Diann Paschall
- Victoria Powell
All providers in Alexander, AR · Family Nurse Practitioner in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 2, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.