Unknown Individual – Family Nurse Practitioner, NPI 1346211273
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
PO BOX 497
AUGUSTA, AR 720060497
Phone: (870) 347-2543
Fax: (870) 301-2092
Type: Mailing
312 S 8TH ST
MURRAY, KY 420712428
Phone: (270) 753-2395
Fax: (270) 759-4745
Type: Location
75 East Court Street
KentuckyCare
Bardwell, KY 420238483
Phone: (270) 628-3333
Fax: (270) 628-3334
Type: Location
623, 9th Street, Broad Street Historic District, Augusta, Richmond County, Georgia, 30901, United States
PO BOX 497
AUGUSTA, AR 720062129
Phone: (870) 347-2543
Fax: (870) 347-3492
Type: Mailing
75, East Court Street, Bardwell, Carlisle County, Kentucky, 42023, United States
KENTUCKYCARE
BARDWELL, KY 420238483
Phone: (270) 628-3333
Fax: (270) 628-3334
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $65.
Total Amount is formed as General ($65) + Research ($0) + Ownership ($0) = $65.
Last reported payment date: 2024-03-28 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($17).
Total Amount
$65
General + Research + Ownership
Payments
4
Total payment records
General Amount
$65
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-28
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $17 |
| Insulet Corporation | $17 |
| Novartis Pharmaceuticals Corporation | $17 |
| Lundbeck LLC | $14 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 72006)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | AR | |
| Nurse Practitioner | AR | |
| Nurse Practitioner | AR | |
| Nurse Practitioner | AR | |
| Internal Medicine, Family Practice | AR | |
| Nurse Practitioner | AR | |
| Nurse Practitioner | AR | |
| Nurse Practitioner | KY | |
| Nurse Practitioner | AR | |
| Nurse Practitioner | AR |
Reviews
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