COMMUNITY CLINIC FAYETTEVILLE MEDICAL
NPI 1013384288
Clinic/Center - Federally Qualified Health Center (FQHC) in Fayetteville, AR
About Community Clinic Fayetteville Medical NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COMMUNITY CLINIC FAYETTEVILLE MEDICAL (NPI 1013384288) is a healthcare organization registered as a federally qualified health center (fqhc) in Fayetteville, Arkansas and active in the NPI registry since August 2015. The organization holds a CLIA Microscopy certificate valid through June 25, 2027 and lists James Semingson, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Community Clinic Fayetteville Medical is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
80Medicare enrollment records show 80 clinicians reassign Medicare billing to Community Clinic Fayetteville Medical, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 26 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 11
Nearest to this location (20)
See all 80Fayetteville, AR 72704
Fayetteville, AR 72704
Fayetteville, AR 72704
Fayetteville, AR 72704
Fayetteville, AR 72704
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA 2
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate for Provider-Performed Microscopy Procedures (PPMP) 04D2284561
Community Clinic Fayetteville High School · Fayetteville, ARCertificate for Provider-Performed Microscopy Procedures (PPMP) 04D2099298
Community Clinic Fayetteville Medical · Fayetteville, ARFrequently 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 St Francis House Nwa, Inc's NPI number?
The NPI number for St Francis House Nwa, Inc is 1013384288. It was assigned to this organization in the NPPES registry on August 24, 2015. The provider is doing business as Community Clinic Fayetteville Medical.
Where is St Francis House Nwa, Inc located?
St Francis House Nwa, Inc is located at 3162 W Martin Luther King Blvd Suites 13 & 14, Fayetteville, AR 72704. The listed phone number is (479) 935-4834.
What is St Francis House Nwa, Inc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is St Francis House Nwa, Inc enrolled in Medicare?
Yes. St Francis House Nwa, Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through St Francis House Nwa, Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 80 clinicians in 11 Medicare specialties reassign their Medicare billing to St Francis House Nwa, Inc. A 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 the clinician's services. The largest specialties are Nurse Practitioner (51), Family Practice (10) and Certified Nurse Midwife (CNM) (4). Of these, 5 practice at this address and 26 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does St Francis House Nwa, Inc hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 04D2284561) is associated with this NPI, valid through June 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does St Francis House Nwa, Inc accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list St Francis House Nwa, Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for St Francis House Nwa, Inc was last updated on January 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Community Clinic Fayetteville Medical · NPI 1013384288
Federally Qualified Health Center (FQHC) organization in Fayetteville, Arkansas. Organization record, active in the CMS NPPES registry since August 24, 2015.
## Identity
- **NPI:** 1013384288 (Entity type: Organization)
- **Enumerated:** August 24, 2015
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Legal business name:** St Francis House Nwa, Inc
- **Organization subpart:** No
- **Authorized official:** James Semingson, CEO
## Practice location
- **Address:** 3162 W MARTIN LUTHER KING BLVD, SUITES 13 & 14, Fayetteville, AR 72704-7684
- **Phone:** (479) 935-4834 · **Fax:** (479) 751-2878
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 80 clinicians in 11 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (51), Family Practice (10), Certified Nurse Midwife (CNM) (4); 5 practice at this address and 26 within 10 miles; [full list](https://npiprofile.com/npi/1013384288/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 15, 2020
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1013384288) · Data from the CMS NPPES public registry.