MEDICAL ASSOCIATES OF NORTHWEST ARKANSAS PA
NPI 1083059109
Pediatrics in Fayetteville, AR
About Medical Associates Of Northwest Arkansas Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MEDICAL ASSOCIATES OF NORTHWEST ARKANSAS PA (NPI 1083059109) is a healthcare organization registered as a pediatrics in Fayetteville, Arkansas and active in the NPI registry since May 2013. The organization holds a CLIA Waiver certificate valid through December 13, 2027 and lists Terry Hurt, Cfo, 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)
Medical Associates Of Northwest Arkansas Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
124Medicare enrollment records show 124 clinicians reassign Medicare billing to Medical Associates Of Northwest Arkansas PA, which bills Medicare for the services they deliver. Of these, 113 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 14
Nearest to this location (20)
See all 124Source: 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 04D1048901
Medical Associates Of Northwest Arkansas · 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 Medical Associates Of Northwest Arkansas PA's NPI number?
The NPI number for Medical Associates Of Northwest Arkansas PA is 1083059109. It was assigned to this organization in the NPPES registry on May 2, 2013.
Where is Medical Associates Of Northwest Arkansas PA located?
Medical Associates Of Northwest Arkansas PA is located at 3383 N Mana Ct Suite 101, Fayetteville, AR 72703. The listed phone number is (479) 443-3471.
What is Medical Associates Of Northwest Arkansas PA's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Medical Associates Of Northwest Arkansas PA enrolled in Medicare?
Yes. Medical Associates Of Northwest Arkansas PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Medical Associates Of Northwest Arkansas PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 124 clinicians in 14 Medicare specialties reassign their Medicare billing to Medical Associates Of Northwest Arkansas PA. 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 Family Practice (33), Nurse Practitioner (22) and Pediatric Medicine (19). Of these, 113 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Medical Associates Of Northwest Arkansas PA hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 04D1048901) is associated with this NPI, valid through December 13, 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 Medical Associates Of Northwest Arkansas PA was last updated on January 17, 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.
# Medical Associates Of Northwest Arkansas Pa · NPI 1083059109
Pediatrics organization in Fayetteville, Arkansas. Organization record, active in the CMS NPPES registry since May 2, 2013.
## Identity
- **NPI:** 1083059109 (Entity type: Organization)
- **Enumerated:** May 2, 2013
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **Organization subpart:** No
- **Authorized official:** Terry Hurt, CFO
## Practice location
- **Address:** 3383 N MANA CT, SUITE 101, Fayetteville, AR 72703-4960
- **Phone:** (479) 443-3471 · **Fax:** (479) 442-7150
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 124 clinicians in 14 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (33), Nurse Practitioner (22), Pediatric Medicine (19); 113 practice within 10 miles; [full list](https://npiprofile.com/npi/1083059109/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 17, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1083059109) · Data from the CMS NPPES public registry.