AMY DEATHERAGE
NPI 1720489032
Nurse Practitioner - Family in Paragould, AR
NPI Status: Active since September 06, 2014
Contact Information
1 MEDICAL DR STE 100
PARAGOULD, AR
ZIP 72450
Phone: (870) 932-0399
- Individual
- Female
- Nurse Practitioner
- Family
- PECOS Enrolled
About AMY DEATHERAGE
This page provides the complete NPI Profile along with additional information for Amy Deatherage, a provider established in Paragould, Arkansas with a medical specialization in Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1720489032 assigned on September 2014. The practitioner's primary taxonomy code is 363LF0000X with license number 2014012328 (AR). The provider is registered as an individual and her NPI record was last updated March 2025.
- NPI
- 1720489032
- Provider Name
- AMY DEATHERAGE
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1 MEDICAL DR STE 100 PARAGOULD, AR 72450
- Location Phone
- (870) 932-0399
- Mailing Address
- 1 MEDICAL DR STE 100 PARAGOULD, AR 72450
- Mailing Phone
- (870) 932-0399
- Is Sole Proprietor?
- No
- Enumeration Date
- 09-06-2014
- Last Update Date
- 03-31-2025
- Code Navigator
A nurse practitioner (NP) like Amy Deatherage 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.
Location Map
Secondary Locations
- 2707 Market Trace
Fort Smith, AR 72908
(479) 434-3600
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner Family
- Taxonomy Code
- 363LF0000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 2014012328
- License State
- AR
Medicare Participation & PECOS Enrollment Status
Amy Deatherage is enrolled in PECOS and is eligible to order or refer health care 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.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Established patient office or other outpatient visit, 20-29 minutes
New patient office or other outpatient visit, 15-29 minutes
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
This service was performed 127 times for 94 patientsThis service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
This service was performed 155 times for 154 patientsPhysician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 72450 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $79.72
- Minimum New Patient Price $51.36
- Maximum New Patient Price $157.74
- Average New Patient Copayment $19.93
- Minimum New Patient Copayment $12.84
- Maximum New Patient Copayment $39.43
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $91.63
- Minimum Established Patient Price $16.16
- Maximum Established Patient Price $128.77
- Average Established Patient Copayment $22.9
- Minimum Established Patient Copayment $4.04
- Maximum Established Patient Copayment $32.19
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Reviews for AMY DEATHERAGE
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 2 | 0 | 4 | 8 | 9 | 0 | 3 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 4 | 0 | 8 | 8 | 18 | 0 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 4 + 0 + 8 + 8 + 1 + 8 + 0 + 6 + 24 = 68 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 68 = 2 | 2 | ||||||||
The NPI number 1720489032 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 2 providers are registered at the same or nearby location.
ANESTHESIA SERVICES ASSOCIATES, PLLC.
Durable Medical Equipment & Medical Supplies
1 MEDICAL DR STE 100
PARAGOULD, AR
ZIP 72450
DR. JAMES JUSTIN YANCEY M.D.
Pediatrics
1 MEDICAL DR STE 100
PARAGOULD, AR
ZIP 72450
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1720489032, enumerated as an "individual" on September 06, 2014.
The provider is located at 1 MEDICAL DR STE 100 PARAGOULD, AR 72450 and the phone number is (870) 932-0399.
Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.
