Amy Stvartak, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

A005354 Issued in AR

Practice address

534 Luzerne St
Mount Ida, AR 71957-9449

Phone

(870) 867-4244

NPI assigned

Sep 11, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• CHI St. Vincent Medical Group Hot Springs

  • Rural Health Clinic/Center
  • Glenwood, AR
  • NPI 1154651982
  Medicare reassignment NPD
• CHI St. Vincent Medical Group Hot Springs

  • Rural Health Clinic/Center
  • Mount Ida, AR
  • NPI 1164752994
  Medicare reassignment NPD
• Urgent Team of Arkansas Physicians, LLC

  • Rural Health Clinic/Center
  • Searcy, AR
  • NPI 1992041370
  Medicare reassignment
• Mission Clinical Services

  • Family Medicine Physician
  • Hot Springs, AR
  • NPI 1003883570
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1505088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505088000000",
    "number": "1992224950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "534 LUZERNE ST",
            "city": "MOUNT IDA",
            "state": "AR",
            "postal_code": "719579449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "534 LUZERNE ST",
            "city": "MOUNT IDA",
            "state": "AR",
            "postal_code": "719579449",
            "telephone_number": "870-867-4244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STVARTAK",
        "first_name": "AMY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-11",
        "last_updated": "2017-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A005354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Nichole Peters, OTR
• Marvin Louis Poole, M.D.
• Ronnie L Faulkner, DDS, PA
• State of Arkansas
• Samantha Jo Stovall, APRN, NP-C
• Superintendent of Mt Ida Public Schools
• Mike Tannehill, OD
• Village Apothecary, Inc.
• Village Apothecary, Inc.
• Wagner Drugs Inc

• Family Nurse Practitioner in Mount Ida, AR
• Providers in Mount Ida, AR by specialty
• Family Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.