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MAUMELLE FAMILY MEDICINE, LLC
NPI 1033969290
Nurse Practitioner - Family in Maumelle, AR

Active since March 22, 2024CLIA 04D2288072 · Waiver
2001 CLUB MANOR DR STE S, MAUMELLE, AR 72113(501) 734-8085(501) 734-8088 Get Directions Write a Review

NPPES record last updated: March 22, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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

NPI1033969290
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameMAUMELLE FAMILY MEDICINE, LLC
Location Address2001 CLUB MANOR DR STE SMaumelle, AR 72113-7417
Mailing Address2001 Club Manor Dr Ste SMaumelle, AR 72113-7417 · (501) 734-8085 · Fax (501) 734-8088
Phone(501) 734-8085
Fax(501) 734-8088
Organization SubpartNo
Authorized OfficialLaura Nicole StallingsOwner · (501) 734-8085
Enumeration DateMarch 22, 2024
NPPES CertifiedMarch 22, 2024
✔ NPI 1033969290 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
2001 CLUB MANOR DR STE S, Maumelle, AR 72113
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

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, AR
Active · expires Aug 20, 2027
CLIA Number04D2288072
Laboratory TypePhysician Office
Certificate Effective DateAugust 21, 2025
Certificate Expiration DateAugust 20, 2027
Laboratory DirectorLaura N. Stallings
Laboratory Phone(501) 734-8085
Laboratory LocationMaumelle Family Medicine2001 Club Manor Dr Ste S, Maumelle, AR 72113
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAURA NICOLE STALLINGS APRN
Nurse Practitioner
2001 CLUB MANOR DR STE S
MAUMELLE, AR 72113
Pulaski County (501) 734-8085
TRACY THOMAS PHILLIPS D.O.
Family Medicine
2001 CLUB MANOR DR STE S
MAUMELLE, AR 72113
Pulaski County (501) 734-8085
TIFFANY LACK APRN, FNP-BC
Nurse Practitioner (Family)
2001 CLUB MANOR DR STE S
MAUMELLE, AR 72113
Pulaski County (501) 734-8085

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 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.

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.

What insurance does Maumelle Family Medicine, LLC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 2 other insurers list Maumelle Family Medicine, LLC 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 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.