MAUMELLE FAMILY MEDICINE, LLC
NPI 1033969290
Nurse Practitioner - Family in Maumelle, AR
About Maumelle Family Medicine, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MAUMELLE FAMILY MEDICINE, LLC (NPI 1033969290) is a healthcare organization registered as a family in Maumelle, Arkansas and active in the NPI registry since March 2024. The organization holds a CLIA Waiver certificate valid through August 20, 2027 and lists Laura Nicole Stallings, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Maumelle Family Medicine, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Maumelle Family Medicine, LLC, which bills Medicare for the services they deliver. Of these, 4 practice at this address. They are listed nearest first.
Clinicians, nearest first (4)
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
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 of Waiver 04D2288072
Maumelle Family Medicine · Maumelle, 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 Maumelle Family Medicine, LLC's NPI number?
The NPI number for Maumelle Family Medicine, LLC is 1033969290. It was assigned to this organization in the NPPES registry on March 22, 2024.
Where is Maumelle Family Medicine, LLC located?
Maumelle Family Medicine, LLC is located at 2001 Club Manor Dr Ste S, Maumelle, AR 72113. The listed phone number is (501) 734-8085.
What is Maumelle Family Medicine, LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Maumelle Family Medicine, LLC enrolled in Medicare?
Yes. Maumelle Family Medicine, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Maumelle Family Medicine, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Maumelle Family Medicine, LLC. 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. Of these, 4 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Maumelle Family Medicine, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 04D2288072) is associated with this NPI, valid through August 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Maumelle Family Medicine, LLC was last updated on March 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Maumelle Family Medicine, Llc · NPI 1033969290
Family organization in Maumelle, Arkansas. Organization record, active in the CMS NPPES registry since March 22, 2024.
## Identity
- **NPI:** 1033969290 (Entity type: Organization)
- **Enumerated:** March 22, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Laura Stallings, OWNER
## Practice location
- **Address:** 2001 CLUB MANOR DR STE S, Maumelle, AR 72113-7417
- **Phone:** (501) 734-8085 · **Fax:** (501) 734-8088
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 4 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 22, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1033969290) · Data from the CMS NPPES public registry.