Individual provider Active NPI

Lori D Fortner, APRN

  • Nurse Practitioner
  • Mount Ida, AR
National Provider Identifier
1982978532
Registry record updated Jul 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
A03657 Issued in AR
Practice address
320 Luzerne St
Mount Ida, AR 71957-9437
Phone
(870) 867-2175
Fax
(479) 234-4445
NPI assigned
Feb 29, 2012
Last updated
Jul 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2025

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 A03657 AR Primary

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 1

IdentifierTypeStateIssuer
190992758MedicaidAR

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
I20120403000123 AR Practitioner - Nurse Practitioner 1355501156 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arkansas Pain Therapy Mena Clinic LLCGroup PAC ID 0446698070, 3 clinicians
Fands Physical Therapy, IncGroup PAC ID 7810898459, 217 clinicians

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A03657ARMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mena Hospital Commission Current Accepting new patients
Mena Hospital Commission CurrentSince Sep 1, 2019 Accepting new patients
Mena Family Health Center CurrentSince Mar 12, 2018 Accepting new patients
Mena Hospital Commission CurrentSince Sep 1, 2019 Accepting new patients
Arkansas Pain Therapy Mena Clinic LLC CurrentSince Jun 1, 2025 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

  • FHIR API: https://fhir4.healow.com/fhir/r4/CEHDDD
  • Direct secure messaging: lfortner251666@directb.mercy.net

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1330473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752019200000",
    "number": "1982978532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21850",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719031850",
            "telephone_number": "870-867-2175",
            "fax_number": "479-234-4445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 LUZERNE ST",
            "city": "MOUNT IDA",
            "state": "AR",
            "postal_code": "719579437",
            "telephone_number": "870-867-2175",
            "fax_number": "479-234-4445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORTNER",
        "first_name": "LORI",
        "middle_name": "D",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-29",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AR",
            "license": "A03657",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "190992758",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Ida, AR

Sources for this page

Verify at the official NPI Registry.