AMY DEATHERAGE
NPI 1720489032
Nurse Practitioner - Family in Paragould, AR
About Amy Deatherage NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AMY DEATHERAGE (NPI 1720489032) is an individual family provider in Paragould, Arkansas, licensed in Arkansas (2014012328) and active in the NPI registry since September 2014. She is enrolled in Medicare PECOS, maintains a secondary practice location in Fort Smith, and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Amy Deatherage is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 72450 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PARAGOULD, AR 72450
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 Amy Deatherage's NPI number?
The NPI number for Amy Deatherage is 1720489032. It was assigned to this individual provider in the NPPES registry on September 6, 2014.
Where is Amy Deatherage located?
Amy Deatherage practices at 1 Medical Dr Ste 100, Paragould, AR 72450. The listed phone number is (870) 932-0399.
What is Amy Deatherage's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Amy Deatherage enrolled in Medicare?
Yes. Amy Deatherage is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
What insurance does Amy Deatherage accept?
Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage and Octave list Amy Deatherage as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Amy Deatherage was last updated on March 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.
# Amy Deatherage · NPI 1720489032
Family physician in Paragould, Arkansas. Individual provider, active in the CMS NPPES registry since September 6, 2014.
## Identity
- **NPI:** 1720489032 (Entity type: Individual)
- **Enumerated:** September 6, 2014
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 2014012328 (Arkansas)
- **Sole proprietor:** No
## Practice location
- **Address:** 1 MEDICAL DR STE 100, Paragould, AR 72450-4005
- **Phone:** (870) 932-0399
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** March 31, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1720489032) · Data from the CMS NPPES public registry.