Individual provider Active NPI

Mary Kathryn McCool, AGACNP-BC

  • Nurse Practitioner
  • Little Rock, AR
National Provider Identifier
1982482808
Registry record updated Sep 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
224828 Issued in AR
Practice address
9501 Baptist Health Dr Ste 900
Little Rock, AR 72205-6234
Phone
(501) 219-0721
Fax
(501) 224-0420
NPI assigned
Sep 20, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 224828 AR Primary

Addresses

Primary practice location

9501 Baptist Health Dr Ste 900
Little Rock, AR 72205-6234

Mailing address

9501 Baptist Health Dr Ste 900
Little Rock, AR 72205-6234
Phone (501) 219-0721

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
I20231031000826 AR Practitioner - Nurse Practitioner 6800242678 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arkansas Health GroupGroup PAC ID 7911802079, 645 clinicians

Practice addresses (Care Compare)

9501 Baptist Health Dr
Suite 900
Little Rock, AR 72205-6234
Phone (501) 219-0721

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
224828ARMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Arkansas Health Group CurrentSince Oct 9, 2023 Accepting new patients
Arkansas Health Group CurrentSince Oct 9, 2023 Accepting new patients
Arkansas Health Group Current Accepting new patients

Locations

605 Salem Rd
Ste B3
Conway, AR 72034
Phone (501) 585-3935

9501 Baptist Health Dr
Ste 900
Little Rock, AR 72205
Phone (501) 219-0721

11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215

9601 Baptist Health Dr
Ste 700
Little Rock, AR 72205
Phone (501) 219-1970

9601 Baptist Health Dr
Little Rock, AR 72205
Phone (501) 202-3995

Interoperability endpoints

  • Direct secure messaging: mmccool709463@direct.baptist-healthar.org

Organizations & group practices 3

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 4

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": "1695168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695168000000",
    "number": "1982482808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9501 BAPTIST HEALTH DR STE 900",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056234",
            "telephone_number": "501-219-0721",
            "fax_number": "501-224-0420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9501 BAPTIST HEALTH DR STE 900",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056234",
            "telephone_number": "501-219-0721",
            "fax_number": "501-224-0420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOOL",
        "first_name": "MARY",
        "middle_name": "KATHRYN",
        "name_prefix": "Dr.",
        "credential": "AGACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-20",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AR",
            "license": "224828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.