MRS. STACY CARMEN RESCHKE FNP-C NPI 1467896886

Nurse Practitioner (Family) in Marion, AR

NPI 1467896886 Individual Female Years of Experience 10 Nurse Practitioner Family PECOS Enrolled Accepts Medicare Approved Payment

About STACY RESCHKE

Stacy Reschke is a provider established in Marion, Arkansas and her medical specialization is nurse practitioner (family) with more than 10 years of experience. The NPI number of Stacy Reschke is 1467896886 and was assigned on April 2013. The practitioner's primary taxonomy code is 363LF0000X with license number A004774 (AR). The provider is registered as an individual and her NPI record was last updated 2 years ago.

A nurse practitioner (NP) like Mrs. Stacy Carmen Reschke Fnp-c is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Stacy Reschke is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices

Stacy Reschke is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

NPI

1467896886

Provider NameMRS. STACY CARMEN RESCHKE FNP-C
Provider Location Address924 STATE HIGHWAY 77 MARION, AR 72364
Provider Mailing Address924 STATE HIGHWAY 77 MARION, AR 72364
GenderFemale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year2012
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date04-29-2013
Last Update Date04-14-2020


Primary Taxonomy

Taxonomy Code363LF0000X
ClassificationNurse Practitioner
TypePhysician Assistants & Advanced Practice Nursing Providers
SpecializationFamily
License No.A004774
License StateAR

Business Address

MRS. STACY CARMEN RESCHKE FNP-C
924 STATE HIGHWAY 77
MARION, AR
ZIP 72364
Phone: (870) 739-8670
Fax: (870) 739-8706

Get Directions


Mailing Address

MRS. STACY CARMEN RESCHKE FNP-C
924 STATE HIGHWAY 77
MARION, AR
ZIP 72364
Phone: (870) 739-8670
Fax: (870) 739-8706



Secondary Locations

108 W Tyler Ave
West Memphis, AR 72301
(870) 732-1191

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily17578TNNo

Taxonomy Description: Not Available

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
214841758MEDICAID (05)AR

Other Providers at the same location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1528537461MITCHELL FAMILY MEDICINE, LLC
Organization
Family Medicine924 STATE HIGHWAY 77
MARION, AR 72364
(870) 739-8670
1679137053THE LOCAL PHARM LLC
Organization
Pharmacy924 STATE HIGHWAY 77
MARION, AR 72364
(870) 739-8670
1275852188DR. AARON JAY MITCHELL M.D.
Individual
Family Medicine924 STATE HIGHWAY 77
MARION, AR 72364
(870) 739-8670
1164037941 JACOB BUCHANAN
Individual
Physical Therapy Assistant924 STATE HIGHWAY 77
MARION, AR 72364
(601) 650-6286

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.