| Stacie L Hipp, APRN | |
|
320 Luzerne St, Mount Ida, AR 71957-9437 | |
| (870) 867-2175 | |
| Not Available |
| Full Name | Stacie L Hipp |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 320 Luzerne St, Mount Ida, Arkansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093241051 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | A005086 (Arkansas) | Primary |
| Entity Name | Chi St Vincent Medical Group Hot Springs |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831387117 PECOS PAC ID: 3971673716 Enrollment ID: O20080604000802 |
| Entity Name | Chi St Vincent Medical Group Hot Springs |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598095325 PECOS PAC ID: 3971673716 Enrollment ID: O20100918000086 |
| Entity Name | Chi St Vincent Medical Group Hot Springs |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154651982 PECOS PAC ID: 3971673716 Enrollment ID: O20100918000105 |
| Entity Name | Chi St Vincent Medical Group Hot Springs |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164752994 PECOS PAC ID: 3971673716 Enrollment ID: O20100920000518 |
| Mailing Address | Practice Location Address |
|---|---|
| Stacie L Hipp, APRN 2819 Highway 27 S, Mount Ida, AR 71957-9516 Ph: (870) 489-3847 | Stacie L Hipp, APRN 320 Luzerne St, Mount Ida, AR 71957-9437 Ph: (870) 867-2175 |
Heather N Funderburk, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 320 Luzerne St, Mount Ida, AR 71957 Phone: 870-867-2175 Fax: 870-867-4050 | |
Samantha Jo Stovall, APRN, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 534 Luzerne St, Mount Ida, AR 71957 Phone: 888-710-8220 Fax: 866-573-0761 | |
Lori D Fortner, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 320 Luzerne St, Mount Ida, AR 71957 Phone: 870-867-2175 Fax: 479-234-4445 | |
Amy Stvartak, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 534 Luzerne St, Mount Ida, AR 71957 Phone: 870-867-4244 |