MRS. DEBORAH MULLENS SHIREY DNP, FNP
NPI 1003805771
Nurse Practitioner - Family in Bentonville, AR
About Mrs. Deborah Mullens Shirey Dnp, Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. DEBORAH MULLENS SHIREY DNP, FNP (NPI 1003805771) is an individual family provider in Bentonville, Arkansas, licensed in Arkansas (A01483) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 11
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Deborah Mullens Shirey Dnp, Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Deborah Shirey reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fayetteville, AR 72701
- Reassigned Medicare billing, Arkansas enrollment
- 26 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 72712 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Deborah Shirey's NPI number?
The NPI number for Deborah Shirey is 1003805771. It was assigned to this individual provider in the NPPES registry on October 17, 2005. The provider is also known as Mrs. Deborah Mullens Shirey Dnp, Fnp.
Where is Deborah Shirey located?
Deborah Shirey practices at 1706 SE Walton Blvd. Ozark Urgent Care, Bentonville, AR 72712. The listed phone number is (479) 464-0400.
What is Deborah Shirey's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Deborah Shirey enrolled in Medicare?
Yes. Deborah Shirey is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Deborah Shirey's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Deborah Shirey reassigns Medicare benefits to Karas Family Walk In Clinic (Fayetteville, AR). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Deborah Shirey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Deborah Shirey was last updated on July 31, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Mrs. Deborah Mullens Shirey, DNP, FNP · NPI 1003805771
Family physician in Bentonville, Arkansas. Individual provider, active in the CMS NPPES registry since October 17, 2005.
## Identity
- **NPI:** 1003805771 (Entity type: Individual)
- **Enumerated:** October 17, 2005
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** A01483 (Arkansas)
- **Sole proprietor:** No
## Practice location
- **Address:** 1706 SE WALTON BLVD., OZARK URGENT CARE, Bentonville, AR 72712
- **Phone:** (479) 464-0400
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Karas Family Walk In Clinic (NPI 1134542434, Fayetteville, AR), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 31, 2014
- **Other identifiers:** Medicare ID-Type Unspecified 8A3603 (TX); Medicare PIN 5A991B809 (AR); Other 5W115 (AR); and 8 more
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Source: [NPI Profile](https://npiprofile.com/npi/1003805771) · Data from the CMS NPPES public registry.