Individual provider Active NPI

Kayla N Stanage, APRN

  • Family Nurse Practitioner
  • Hot Springs, AR
National Provider Identifier
1982133161
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ATP-001143 Issued in AR
Practice address
1661 Airport Rd Ste F
Hot Springs, AR 71913-8184
Phone
(501) 651-4300
Fax
(501) 547-5688
NPI assigned
Jun 9, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 ATP-001143 AR Primary

Addresses

Primary practice location

1661 Airport Rd Ste F
Hot Springs, AR 71913-8184

Mailing address

1661 Airport Rd Ste F
Hot Springs, AR 71913-8184
Phone (501) 651-4300

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
I20171221000080 AR Practitioner - Nurse Practitioner 8224396221 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthstar Physicians of Hot Springs PLLCGroup PAC ID 5698665685, 51 clinicians

Practice addresses (Care Compare)

1661 Airport Rd
Suite F
Hot Springs, AR 71913-8184
Phone (501) 651-4300

Hospital & facility affiliations

  • CHI St. Vincent Hospital Hot Springs Hospital, Hot Springs, AR, CCN 040026
  • National Park Medical Center Hospital, Hot Springs, AR, CCN 040078

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ATP-001143ARMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healthstar Physicians of Hot Springs, PLLC CurrentSince Nov 11, 2017 Accepting new patients
Healthstar Physicians of Hot Springs, PLLC Current Accepting new patients
Healthstar Physicians of Hot Springs, PLLC Past Accepting new patients
Healthstar Physicians of Hot Springs, PLLC Past Accepting new patients

Locations

120 Adcock Rd
#B
Hot Springs, AR 71913
Phone (501) 767-1538

1661 Airport Rd
Ste D
Hot Springs National Park, AR 71913
Phone (501) 547-5718

1661 Airport Rd
Ste F
Hot Springs National Park, AR 71913
Phone (501) 651-4300

120 Adcock Rd
#A
Hot Springs National Park, AR 71913
Phone (501) 651-4500

Interoperability endpoints

  • Direct secure messaging: kayla.stanage.1@16721.direct.athenahealth.com

Organizations & group practices 4

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 7

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": "1496966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1982133161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1661 AIRPORT RD STE F",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719138184",
            "telephone_number": "501-651-4300",
            "fax_number": "501-547-5688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1661 AIRPORT RD STE F",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719138184",
            "telephone_number": "501-651-4300",
            "fax_number": "501-547-5688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANAGE",
        "first_name": "KAYLA",
        "middle_name": "N",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-09",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "ATP-001143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hot Springs, AR

Sources for this page

Verify at the official NPI Registry.