Shawna Renee Middleton, FNP-C in Ash Flat, AR

Shawna Renee Middleton, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Ash Flat, Arkansas. Her current practice location is 49 Highway 62 412, Ash Flat, Arkansas. You can reach out to her office (for appointments etc.) via phone at (870) 994-7301.

Shawna Renee Middleton is licensed to practice in Arkansas (license number A03569) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1104104090.

Contact Information

	Shawna Renee Middleton, FNP-C
	49 Highway 62 412, Ash Flat, AR 72513-9594
	(870) 994-7301
	Not Available

Map and Direction

Provider's Profile

Full Name	Shawna Renee Middleton
Gender	Female
Speciality	Nurse Practitioner - Family
Location	49 Highway 62 412, Ash Flat, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104104090
Provider Enumeration Date: 07/27/2011
Last Update Date: 02/28/2025

Medicare PECOS Information:

PECOS PAC ID: 7911177282
Enrollment ID: I20110823000944

Medical Identifiers

Medical identifiers for Shawna Renee Middleton such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104104090	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	A03569 (Arkansas)	Primary

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. Shawna Renee Middleton allows following entities to bill medicare on her behalf.

Entity Name	Bradley Bibb Md Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699097436 PECOS PAC ID: 4789715285 Enrollment ID: O20100628000488

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. Shawna Renee Middleton 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 Address	Practice Location Address
Shawna Renee Middleton, FNP-C 4196 Highway 62 412 Ste A, Hardy, AR 72542-8002 Ph: () -	Shawna Renee Middleton, FNP-C 49 Highway 62 412, Ash Flat, AR 72513-9594 Ph: (870) 994-7301

Reviews and Comments

Nurse Practitioner Nurses in Ash Flat, AR

Katie Stucker, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 49 Highway 62 412, Ash Flat, AR 72513 Phone: 870-994-7301 Fax: 870-994-7488
Stephanie Ann Moser, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 49 Highway 62 412, Ash Flat, AR 72513 Phone: 870-994-7301
Colleen Marie Blanchard, APRN-CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 308 Highway 62 W, Ash Flat, AR 72513 Phone: 870-994-2202 Fax: 870-994-2328

Shawna Renee Middleton, FNP-C - Medicare Nurse Practitioner in Ash Flat, AR