Lori D Fortner, APRN
Individual provider Active NPI Nurse Practitioner · Mount Ida, AR
NPI 1982978532 · NPPES record last updated Jul 9, 2025
Key facts
- NPI
- 1982978532
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- A03657 (AR)
- Practice address
- 320 Luzerne St
Mount Ida, AR 71957-9437 - Phone
- (870) 867-2175
- Fax
- (479) 234-4445
- NPI assigned
- Feb 29, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Arkansas Pain Therapy Mena Clinic LLC
Fands Physical Therapy, Inc
Practice addresses (Care Compare)
1102 Crestwood Cir
Mena, AR 71953-5513
Phone (479) 234-4433
1414 Hwy 71 N
Alma, AR 72921-4723
Phone (479) 632-0321
Hospital & facility affiliations
- Sevier County Medical Center
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 |
|---|---|---|---|---|
| I20120403000123 | AR | Practitioner - Nurse Practitioner | 1355501156 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A03657 | AR | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mena Family Health Center | Current |
Accepting new patients | |
| Arkansas Pain Therapy Mena Clinic LLC | Current |
Accepting new patients | |
| Mena Hospital Commission | Current |
Accepting new patients | |
| Mena Hospital Commission | Current | Accepting new patients | |
| Mena Hospital Commission | Current |
Accepting new patients | |
| Quality Mobile Xray Services Inc | Past | Accepting new patients | |
| Quality Mobile X-Ray Services, Inc. | Past | Accepting new patients |
Locations
1102 Crestwood Cir
Mena, AR 71953
Phone (479) 234-4433
1103 College Dr
Mena, AR 71953
Phone (479) 394-1414
311 Morrow St N
Mena, AR 71953
Phone (479) 394-6100
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/CEHDDD
- lfortner251666@directb.mercy.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | A03657 | AR | Yes |
Addresses
Primary practice location
320 Luzerne St
Mount Ida, AR 71957-9437
Mailing address
PO Box 21850
Hot Springs, AR 71903-1850
Phone (870) 867-2175
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 190992758 | Medicaid | AR |
Other providers in Mount Ida, AR
- CHI St. Vincent Medical Group Hot Springs
- City Drug and Soda Fountain
- Cynthia Jean Crowson
- D Michael Deruyter D D S Inc
- Ronnie Lee Faulkner
- Heather N Funderburk
- Healthy Connections Inc
- Healthy Connections, Inc
- Healthy Connections, Inc
- Healthy Connections, Inc
All providers in Mount Ida, AR · 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 Jul 9, 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.