Amy Deatherage
NPI 1720489032 · Family Nurse Practitioner · Paragould, AR
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Amy Deatherage is a Family Nurse Practitioner provider in Paragould, AR (NPI 1720489032).
Provider details
- NPI number
- 1720489032
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 2014012328 (AR)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 2707 Market TraceFort Smith, AR 72908-8694Phone: (479) 434-3600Fax: (833) 992-0797
Registry dates
- Enumerated
- 2014-09-06
- Last updated
- 2025-03-31
- Certified
- 2025-03-31
Frequently asked questions
- What is Amy Deatherage's NPI number?
- Amy Deatherage's National Provider Identifier (NPI) is 1720489032, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Amy Deatherage's specialty?
- Amy Deatherage is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Amy Deatherage located?
- Amy Deatherage's practice location on file with NPPES is 1 Medical Dr Ste 100, Paragould, AR 72450-4005.
- What is Amy Deatherage's phone number?
- The practice phone number listed in the NPPES registry for Amy Deatherage is (870) 932-0399.
- Does Amy Deatherage accept Medicare?
- Amy Deatherage is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Amy Deatherage's NPI active?
- Yes — Amy Deatherage's NPI (1720489032) is active in the NPPES registry as of the last update on 2025-03-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.