Mrs Ellen Lavera Qualls, APN - Medicare Nurse Practitioner in Cave City, AR

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Mrs Ellen Lavera Qualls, APN is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Cave City, Arkansas. She graduated from nursing school in 2008 and has 17 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice White River Health System, Inc., Still Waters Wellness Llc and her current practice location is 301 S Main St Ste D, Cave City, Arkansas. You can reach out to her office (for appointments etc.) via phone at (870) 834-0581.

Mrs Ellen Lavera Qualls is licensed to practice in Arkansas (license number A03179) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1689819682.

Contact Information

Mrs Ellen Lavera Qualls, APN
301 S Main St Ste D,
Cave City, AR 72521-5010
(870) 834-0581
Not Available

Map and Direction




Provider's Profile

Full NameMrs Ellen Lavera Qualls
GenderFemale
SpecialityNurse Practitioner
Experience17 Years
Location301 S Main St Ste D, Cave City, Arkansas
Accepts Medicare AssignmentsMay be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mrs Ellen Lavera Qualls graduated from nursing school in 2008
  NPI Data:
  • NPI Number: 1689819682
  • Provider Enumeration Date: 12/05/2008
  • Last Update Date: 03/25/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 6406911296
  • Enrollment ID: I20090211000165

Medical Identifiers

Medical identifiers for Mrs Ellen Lavera Qualls such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689819682NPI-NPPES
A03179OtherARAPN LICENSE A03179
180502758MedicaidAR
5R233OtherARBCBS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
364SA2100XClinical Nurse Specialist - Acute Care A03179 (Arkansas)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health A03179 (Arkansas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
White River Medical CenterBatesville, ARHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
White River Health System, Inc.0143134270164
Still Waters Wellness Llc28608537512

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Ellen Lavera Qualls allows following entities to bill medicare on her behalf.
Entity NameWhite River Health System, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710952650
PECOS PAC ID: 0143134270
Enrollment ID: O20031206000064
Entity NameWhite River Health System, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568442127
PECOS PAC ID: 0143134270
Enrollment ID: O20060221000012
Entity NameWhite River Health System, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1871609743
PECOS PAC ID: 0143134270
Enrollment ID: O20070223000663
Entity NameWhite River Health System, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831495423
PECOS PAC ID: 0143134270
Enrollment ID: O20110426000404
Entity NameWhite River Health System, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760452643
PECOS PAC ID: 0143134270
Enrollment ID: O20111003000187
Entity NameWhite River Health System, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992079651
PECOS PAC ID: 0143134270
Enrollment ID: O20120326000612
Entity NameJay Jeffrey, Md, Facs, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841767803
PECOS PAC ID: 9335483437
Enrollment ID: O20181130000142
Entity NameStill Waters Wellness Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497446769
PECOS PAC ID: 2860853751
Enrollment ID: O20230725000810

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Ellen Lavera Qualls is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Ellen Lavera Qualls, APN
301 S Main St Ste D,
Cave City, AR 72521-5010

Ph: (870) 834-0581		Mrs Ellen Lavera Qualls, APN
301 S Main St Ste D,
Cave City, AR 72521-5010

Ph: (870) 834-0581

Reviews and Comments


Nurse Practitioner Nurses in Cave City, AR

Matthew Barnett, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 63 Dalton Dr, Cave City, AR 72521
Phone: 870-283-2196    
Sarah Teague, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 444 Taylor Cir, Cave City, AR 72521
Phone: 870-376-2844    
Mrs. Amber Lea Clements-fore, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 307 N Main St, Cave City, AR 72521
Phone: 870-283-5550    Fax: 870-283-6222
Sarah Lynn Wycough, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 301 S Main St, Cave City, AR 72521
Phone: 870-283-5353    
Randi Michele Wright, CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 307 N Main St, Cave City, AR 72521
Phone: 870-283-5550    
Myra E Kendall, APN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 301 S Main St, Cave City, AR 72521
Phone: 870-283-5353    Fax: 870-283-5988

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.