Anita Xayapheth, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

A005446 Issued in AR

Practice address

396 Mount Zion Rd
Russellville, AR 72802-1514

Phone

(479) 622-0633

NPI assigned

Jan 8, 2018

Sex

Female

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, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Inpatient SolutionsGroup PAC ID 5597195206, 31 clinicians

Mercy Clinic Fort Smith CommunitiesGroup PAC ID 3870668510, 361 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Marys Regional Medical Center Hospital, Russellville, AR, CCN 040041
• Mercy Hospital Ozark Hospital, Ozark, AR, CCN 041303
• Mercy Hospital Waldron Hospital, Waldron, AR, CCN 041305
• Johnson Regional Medical Center Hospital, Clarksville, AR, CCN 040002

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Inpatient Solutions

  • Internal Medicine Physician
  • Benton, AR
  • NPI 1750927109
  Medicare reassignment Care Compare group NPD
• Mercy Clinic Fort Smith Communities

  • Multi-Specialty Clinic/Center
  • Fort Smith, AR
  • NPI 1902073620
  Medicare reassignment Care Compare group NPD
• Mercy Hospital Booneville

  • Certified Registered Nurse Anesthetist
  • Booneville, AR
  • NPI 1083004733
  Medicare reassignment NPD
• Mercy Hospital Booneville

  • Critical Access Hospital
  • Booneville, AR
  • NPI 1992133714
  Medicare reassignment NPD
• Mercy Hospital Ozark

  • Critical Access Hospital
  • Ozark, AR
  • NPI 1275504128
  Medicare reassignment NPD
• Mercy Hospital Ozark

  • Emergency Care Clinic/Center
  • Ozark, AR
  • NPI 1881642767
  Medicare reassignment NPD
• Mercy Hospital Paris

  • Emergency Care Clinic/Center
  • Paris, AR
  • NPI 1518915321
  Medicare reassignment NPD
• Mercy Hospital Paris

  • Critical Access Hospital
  • Paris, AR
  • NPI 1760453633
  Medicare reassignment NPD
• Mercy Hospital Waldron

  • Emergency Care Clinic/Center
  • Waldron, AR
  • NPI 1730137134
  Medicare reassignment NPD
• Mercy Hospital Waldron

  • Critical Access Hospital
  • Waldron, AR
  • NPI 1912978875
  Medicare reassignment NPD
• St Mary'S Physician Services LLC

  • General Practice Physician
  • Russellville, AR
  • NPI 1124084991
  Medicare reassignment NPD
• Mercy Clinic Fort Smith Communities

  • Endocrinology, Diabetes & Metabolism Physician
  • Fort Smith, AR
  • NPI 1790258002
  NPD

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

• Johnson Regional Medical Center

  • General Acute Care Hospital
  • Clarksville, AR
  • NPI 1134116049
  Care Compare affiliation
• Mercy Hospital Ozark

  • Critical Access Hospital
  • Ozark, AR
  • NPI 1275504128
  Care Compare affiliation
• Mercy Hospital Waldron

  • Critical Access Hospital
  • Waldron, AR
  • NPI 1912978875
  Care Compare affiliation
• Russellville Holdings LLC

  • General Acute Care Hospital
  • Russellville, AR
  • NPI 1033160049
  Care Compare affiliation

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

{
    "created_epoch": "1515369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515369600000",
    "number": "1962919282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "396 MOUNT ZION RD",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728021514",
            "telephone_number": "479-622-0633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "396 MOUNT ZION RD",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728021514",
            "telephone_number": "479-622-0633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "XAYAPHETH",
        "first_name": "ANITA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-08",
        "last_updated": "2018-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AR",
            "license": "A005446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joan Wright
• Kimberly Wright
• Jaimie T Wyatt, OTA
• Kerri Wyatt
• Kyle Wyatt, PTA
• Kyndale Yancey
• Hannah Jordan Yandell
• Jeffrey K Yates, DO
• Tanner Leigh Yates
• Courtney Yokota

• Nurse Practitioner in Russellville, AR
• Providers in Russellville, AR by specialty
• Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2018; 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.