Physician Compare National (NPI:1871034165)

HEALTHCARE PROVIDER: CARRIE MICHELLE PRICE APRN

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1871034165
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8123391646
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20170906000116
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	PRICE
	Individual professional last name
Provider First Name	CARRIE
	Individual professional first name
Provider Middle Name	MICHELLE
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2017
	Individual professional's medical school graduation year
Primary Specialty	NURSE PRACTITIONER
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	WHITE COUNTY MEDICAL CENTER
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	4880688654
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	165
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	2725 HWY 25B
	Group Practice or individual's line 1 address
Line 2 Street Address	UNITY HEALTH MEDICAL CLINIC HEBER
	Group Practice or individual's line 2 address
City	SEARCY
	Group Practice or individual's city
State	AR
	Group Practice or individual's state
Zip Code	72143
	Group Practice or individual's zip code (9 digits when available)
Phone Number	5013625800
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	040014
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	WHITE COUNTY MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	041312
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	BAPTIST HEALTH MEDICAL CENTER HEBER SPINGS
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y