MARY LYNNE SHULTS PA-C
NPI 1730687450
Physician Assistant in Little Rock, AR

Q: What is Mary Shults's NPI number?

The NPI number for Mary Shults is 1730687450. It was assigned to this individual provider in the NPPES registry on January 28, 2018.

Q: What is Mary Shults's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Mary Shults was last updated on April 20, 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.

Active since January 28, 2018

1 CHILDRENS WAY # 653, LITTLE ROCK, AR 72202(501) 364-1100(501) 364-4082 Get Directions Write a Review

NPPES record last updated: April 20, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mary Lynne Shults Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY LYNNE SHULTS PA-C (NPI 1730687450) is an individual physician assistant in Little Rock, Arkansas, licensed in Arkansas (PT2020-030) and active in the NPI registry since January 2018.

NPPES Registry Identity

NPI1730687450

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMARY LYNNE SHULTSCredential: PA-C

Location Address1 CHILDRENS WAY # 653Little Rock, AR 72202-3500

Mailing Address1 Childrens Way # 653Little Rock, AR 72202-3500 · (501) 364-1100 · Fax (501) 364-4082

Phone(501) 364-1100

Fax(501) 364-4082

Sole ProprietorNo

Enumeration DateJanuary 28, 2018

Last NPPES UpdateApril 20, 2020

NPPES CertifiedApril 20, 2020

✔ NPI 1730687450 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in AR · PT2020-030

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedPediatrics · Pediatric Critical Care MedicineTaxonomy 2080P0203X · License 2866 (OK)

1 CHILDRENS WAY # 653, Little Rock, AR 72202

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

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.

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