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PHILLIP RUNYAN
NPI 1063685840
Counselor - Professional in Bismarck, AR

Active since April 11, 2008PECOS Enrolled
3399 FINCH RD, BISMARCK, AR 71929(501) 865-3363 Get Directions Write a Review

NPPES record last updated: November 18, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Phillip Runyan NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHILLIP RUNYAN (NPI 1063685840) is an individual professional provider in Bismarck, Arkansas and active in the NPI registry since April 2008. He is enrolled in Medicare PECOS and maintains a secondary practice location in Hot Springs.

NPPES Registry Identity

NPI1063685840
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NamePHILLIP RUNYAN
Location Address3399 FINCH RDBismarck, AR 71929-7541
Mailing AddressPo Box 108Bismarck, AR 71929-0108 · (501) 865-3363
Phone(501) 865-3363
Sole ProprietorYes
Enumeration DateApril 11, 2008
Last NPPES UpdateNovember 18, 2019
✔ NPI 1063685840 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
3399 FINCH RD, Bismarck, AR 71929
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Secondary Practice Location 1

Location 1125 Wellness WayHot Springs, AR 71913-6478 · Phone (501) 624-7111

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Phillip Runyan is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Phillip Runyan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Tfs Of Gurdon Inc
20 mi
Community/Behavioral Health
829 HALBERT ST
Malvern, AR 72104
  • Reassigned Medicare billing, Arkansas enrollment
  • 16 clinicians in this Medicare group
NPI 1639180805 (501) 332-4400

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 11

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

ANDREA MCDANIEL MHPP
Case Manager/Care Coordinator
3399 FINCH RD
BISMARCK, AR 71929
Hot Spring County (501) 865-3363
KIMBERLYNN GOODWIN
Case Manager/Care Coordinator
3399 FINCH RD
BISMARCK, AR 71929
Hot Spring County (501) 865-3363
ANGELA RENEE HUGHES MHPP
Case Manager/Care Coordinator
3399 FINCH RD
BISMARCK, AR 71929
Hot Spring County (501) 865-3363
KATHERINE KNOLL LAMFT
Marriage & Family Therapist
3399 FINCH RD
BISMARCK, AR 71929
Hot Spring County (501) 865-3363
CAROLYN MCCLURE MHPP
Case Manager/Care Coordinator
3399 FINCH RD
BISMARCK, AR 71929
Hot Spring County (501) 663-5473
MS. JUANNA JO CROMWELL LAC
Counselor
3399 FINCH RD
BISMARCK, AR 71929
Hot Spring County (501) 865-3363
JANA SMITH MHPP
Case Manager/Care Coordinator
3399 FINCH RD
BISMARCK, AR 71929
Hot Spring County (501) 865-3363
MARY SUE THOMAS
Case Manager/Care Coordinator
3399 FINCH RD
BISMARCK, AR 71929
Hot Spring County (501) 865-3363

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 Phillip Runyan's NPI number?

The NPI number for Phillip Runyan is 1063685840. It was assigned to this individual provider in the NPPES registry on April 11, 2008.

Where is Phillip Runyan located?

Phillip Runyan practices at 3399 Finch Rd, Bismarck, AR 71929. The listed phone number is (501) 865-3363.

What is Phillip Runyan's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Phillip Runyan enrolled in Medicare?

Yes. Phillip Runyan is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Phillip Runyan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Phillip Runyan reassigns Medicare benefits to Tfs Of Gurdon Inc (Malvern, 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 Phillip Runyan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Phillip Runyan 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 3 other insurers list Phillip Runyan 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 Phillip Runyan was last updated on November 18, 2019. 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.