Individual provider Active NPI

Colleen Marie Blanchard, APRN-CNP

  • Family Nurse Practitioner
  • Weiner, AR
National Provider Identifier
1982010898
Registry record updated Oct 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A004164 Issued in AR
Practice address
106 N Van Buren St
Weiner, AR 72479-9289
Phone
(870) 605-0014
NPI assigned
Jul 11, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X A004164 AR
Family Nurse Practitioner 363LF0000X A004164 AR Primary

Addresses

Primary practice location

106 N Van Buren St
Weiner, AR 72479-9289

Mailing address

4196 Highway 62 412 Ste a
Hardy, AR 72542-8002

Other practice location 1

308 Highway 62 W
Ash Flat, AR 72513-9415
Phone (870) 994-2202

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
I20150126002083 AR Practitioner - Nurse Practitioner 5294059028 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Access Medical Clinic Arkansas LTC LLC 141 clinicians

Practice addresses (Care Compare)

106 N Van Buren St
Weiner, AR 72479-9289
Phone (870) 605-0014

Hospital & facility affiliations

  • St Bernards Medical Center Hospital, Jonesboro, AR, CCN 040020

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A004164ARMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Access Medical Clinic Arkansas LTC LLC CurrentSince Oct 1, 2025 Accepting new patients
Access Medical Clinic Arkansas LTC LLC Current Accepting new patients
Arrhythmia Associates of Nea, LLC CurrentSince Mar 20, 2018 Accepting new patients
Access Medical Clinic Arkansas LTC LLC CurrentSince Oct 1, 2025 Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

4196 Highway 62 412
#A
Hardy, AR 72542
Phone (870) 856-2100

201 E Oak Ave
Jonesboro, AR 72401

201 E Oak Ave
#B
Jonesboro, AR 72401
Phone (901) 405-1025

106 N Van Buren St
Weiner, AR 72479
Phone (870) 605-0014

Interoperability endpoints

  • Direct secure messaging: colleen.blanchard.1@29938.direct.athenahealth.com

Organizations & group practices 11

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 1

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": "1405036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760313600000",
    "number": "1982010898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4196 HIGHWAY 62 412 STE A",
            "city": "HARDY",
            "state": "AR",
            "postal_code": "725428002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 N VAN BUREN ST",
            "city": "WEINER",
            "state": "AR",
            "postal_code": "724799289",
            "telephone_number": "870-605-0014"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "308 Highway 62 W",
            "address_purpose": "LOCATION",
            "city": "Ash Flat",
            "state": "AR",
            "postal_code": "725139415",
            "country_code": "US",
            "telephone_number": "870-994-2202",
            "fax_number": "870-994-2328",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLANCHARD",
        "first_name": "COLLEEN",
        "middle_name": "MARIE",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-11",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "AR",
            "license": "A004164",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A004164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weiner, AR

Sources for this page

Verify at the official NPI Registry.