Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Rosselvy Areli Shipley-Bolanis, DNPFNP-BC

Individual provider Family Nurse Practitioner · NPI 1790676690

Rosselvy Areli Shipley-Bolanis, DNPFNP-BC is a Nurse Practitioner in Russellville, Arkansas. Qualified in 2025, 1 year ago. Practices with Urgent Team of Arkansas Physicians LLC, a 155-clinician group and accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
1
Licensed in
AR
In the registry since
2025
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Practice location Address checks out

106 Weir Rd Ste 4
Russellville, AR 72802-9409
Phone: (479) 567-5652
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 234090 (AR)

Record details

NPI number1790676690
Entity typeIndividual (Type 1)
GenderFemale
Credentials DNPFNP-BC
Sole proprietorNo
NPI enumeratedJuly 10, 2025
Last updated in NPPESFebruary 13, 2026
Certification dateFebruary 13, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Urgent Team Of Arkansas Physicians Llc — 155 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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