AMY CHRISTINA DALLAS APN
NPI 1821564204
Nurse Practitioner - Family in Dardanelle, AR

Q: What is Amy Dallas's NPI number?

The NPI number for Amy Dallas is 1821564204. It was assigned to this individual provider in the NPPES registry on October 23, 2018.

Q: What is Amy Dallas's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Amy Dallas was last updated on December 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 October 23, 2018PECOS Enrolled

200 N 3RD ST, DARDANELLE, AR 72834(479) 229-6191(479) 229-6194 Get Directions Write a Review

NPPES record last updated: December 21, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 21, 2021, Oct 23, 2018 (2 updates tracked since 2018).

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About Amy Christina Dallas Apn NPPES

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

AMY CHRISTINA DALLAS APN (NPI 1821564204) is an individual family provider in Dardanelle, Arkansas, licensed in Arkansas (A005401) and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS and maintains a secondary practice location in Little Rock.

NPPES Registry Identity

NPI1821564204

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameAMY CHRISTINA DALLASCredential: APN

Location Address200 N 3RD STDardanelle, AR 72834-3802

Mailing AddressPo Box 251420Little Rock, AR 72225-1420 · (501) 686-8000

Phone(479) 229-6191

Fax(479) 229-6194

Sole ProprietorNo

Enumeration DateOctober 23, 2018

Last NPPES UpdateDecember 21, 20212 updates tracked since enumeration

NPPES CertifiedDecember 21, 2021

✔ NPI 1821564204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in AR · A005401

200 N 3RD ST, Dardanelle, AR 72834

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Secondary Practice Location 1

Location 14301 W Markham St # 783Little Rock, AR 72205-7101 · Phone (501) 686-8000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Arkansas Blue Cross and Blue Shield, Health Advantage, Octave.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amy Christina Dallas Apn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72834 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$79.72 typical visit price

range $51.36 – $157.74

Typical copayment $19.93 (range $12.84 – $39.43)

Most-billed visit code 99203

Established Patient

$91.63 typical visit price

range $16.16 – $128.77

Typical copayment $22.90 (range $4.04 – $32.19)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier22 claims22 services$20.33 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

3 suppliers49 claims49 services$101.95 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

1 supplier16 claims16 services$34.48 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DARDANELLE REGIONAL, LLC

Anesthesiology