| Stefanie A Ellis, APN | |
|
2800 Fayetteville Rd, Van Buren, AR 72956-6523 | |
| (479) 314-4000 | |
| (479) 314-4050 |
| Full Name | Stefanie A Ellis |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 21 Years |
| Location | 2800 Fayetteville Rd, Van Buren, Arkansas |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558389114 | NPI | - | NPPES |
| 5X925 | Other | AR | AR BCBS |
| 200041860A | Medicaid | OK | |
| 154409758 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | A01792 (Arkansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy Hospital Fort Smith | Fort smith, AR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mercy Clinic Fort Smith Communities | 3870668510 | 305 |
| Entity Name | Southeastern Emergency Services P C |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669414264 PECOS PAC ID: 6204730195 Enrollment ID: O20070301000532 |
| Entity Name | Mercy Clinic Fort Smith Communities |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902073620 PECOS PAC ID: 3870668510 Enrollment ID: O20080814000789 |
| Mailing Address | Practice Location Address |
|---|---|
| Stefanie A Ellis, APN 5401 Ellsworth Rd, Fort Smith, AR 72903-3219 Ph: (479) 314-1101 | Stefanie A Ellis, APN 2800 Fayetteville Rd, Van Buren, AR 72956-6523 Ph: (479) 314-4000 |
Mrs. Charlotte Jane Stark, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2800 Fayetteville Rd, Van Buren, AR 72956 Phone: 479-314-4000 Fax: 479-314-4050 | |
Jacee Mae Banning, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2010 Chestnut St Ste B, Van Buren, AR 72956 Phone: 479-262-2724 Fax: 479-262-2727 | |
Monique Thammavong, APRN, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 209 Pointer Trl W Ste A, Van Buren, AR 72956 Phone: 479-474-1100 Fax: 479-471-1335 | |
Larhonda Kay Torrey, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 209 Pointer Trl W, Van Buren, AR 72956 Phone: 479-474-1100 | |
Mrs. Stephanie Ann Davis, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 620 Broadway St, Van Buren, AR 72956 Phone: 479-474-5061 | |
Laura A. Henson, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2521 Alma Hwy, Van Buren, AR 72956 Phone: 877-522-1275 Fax: 833-888-7145 |