AUTONOMY HEALTH CARE PROVIDERS LLC
NPI 1083285985
Nurse Practitioner - Family in Pine Bluff, AR
About Autonomy Health Care Providers Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AUTONOMY HEALTH CARE PROVIDERS LLC (NPI 1083285985) is a healthcare organization registered as a family in Pine Bluff, Arkansas and active in the NPI registry since July 2021. The organization holds a CLIA Waiver certificate valid through October 30, 2026, maintains a secondary practice location in Little Rock, and lists Theresa Ann Lybrand, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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)
Autonomy Health Care Providers Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Autonomy Health Care Providers LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 04D2271274
Autonomy Healthcare Providers · Pine Bluff, 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 Autonomy Health Care Providers LLC's NPI number?
The NPI number for Autonomy Health Care Providers LLC is 1083285985. It was assigned to this organization in the NPPES registry on July 2, 2021.
Where is Autonomy Health Care Providers LLC located?
Autonomy Health Care Providers LLC is located at 1700 Doctors Dr, Pine Bluff, AR 71603. The listed phone number is (870) 534-2900.
What is Autonomy Health Care Providers LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Autonomy Health Care Providers LLC enrolled in Medicare?
Yes. Autonomy Health Care Providers LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Autonomy Health Care Providers LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Autonomy Health Care Providers 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Autonomy Health Care Providers LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 04D2271274) is associated with this NPI, valid through October 30, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Autonomy Health Care Providers LLC was last updated on January 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.
# Autonomy Health Care Providers Llc · NPI 1083285985
Family organization in Pine Bluff, Arkansas. Organization record, active in the CMS NPPES registry since July 2, 2021.
## Identity
- **NPI:** 1083285985 (Entity type: Organization)
- **Enumerated:** July 2, 2021
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Theresa Lybrand, OWNER
## Practice location
- **Address:** 1700 DOCTORS DR, Pine Bluff, AR 71603-7015
- **Phone:** (870) 534-2900 · **Fax:** (501) 207-8925
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 6, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1083285985) · Data from the CMS NPPES public registry.