CAREY ANN ELLIS LAFFOON APRN
NPI 1720284318
Nurse Practitioner - Family in Russellville, AR
About Carey Ann Ellis Laffoon Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CAREY ANN ELLIS LAFFOON APRN (NPI 1720284318) is an individual family provider in Russellville, Arkansas, licensed in Arkansas (A01649) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS and maintains 3 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Secondary Practice Locations 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Carey Ann Ellis Laffoon Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Carey Ellis Laffoon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Russellville, AR 72801
- Reassigned Medicare billing, Arkansas enrollment
- Medicare enrollment name: St Marys Physician Services LLC
- 136 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 72801 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Reported Quality Measures
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
RUSSELLVILLE, AR 72801
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Carey Ellis Laffoon's NPI number?
The NPI number for Carey Ellis Laffoon is 1720284318. It was assigned to this individual provider in the NPPES registry on June 21, 2007. The provider is also known as Carey A Bosold.
Where is Carey Ellis Laffoon located?
Carey Ellis Laffoon practices at 101 Skyline Dr, Russellville, AR 72801. The listed phone number is (479) 968-2345.
What is Carey Ellis Laffoon's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Carey Ellis Laffoon enrolled in Medicare?
Yes. Carey Ellis Laffoon is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Carey Ellis Laffoon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Carey Ellis Laffoon reassigns Medicare benefits to St Mary's Physician Services LLC (Russellville, AR). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Carey Ellis Laffoon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Carey Ellis Laffoon was last updated on January 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Carey Ann Ellis Laffoon, APRN · NPI 1720284318
Family physician in Russellville, Arkansas. Individual provider, active in the CMS NPPES registry since June 21, 2007.
## Identity
- **NPI:** 1720284318 (Entity type: Individual)
- **Enumerated:** June 21, 2007
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** A01649 (Arkansas)
- **Sole proprietor:** No
## Practice location
- **Address:** 101 SKYLINE DR, Russellville, AR 72801-3363
- **Phone:** (479) 968-2345 · **Fax:** (479) 890-2497
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** St Mary's Physician Services LLC (NPI 1124084991, Russellville, AR), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 24, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1720284318) · Data from the CMS NPPES public registry.