MR. JOHNNY MAC STEVENS APRN
NPI 1093104895
Nurse Practitioner - Family in Bentonville, AR
About Mr. Johnny Mac Stevens Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. JOHNNY MAC STEVENS APRN (NPI 1093104895) is an individual family provider in Bentonville, Arkansas, licensed in Arkansas (A004282) and active in the NPI registry since January 2015. He is enrolled in Medicare PECOS, maintains a secondary practice location in Gentry, and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mr. Johnny Mac Stevens Aprn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
7Medicare enrollment records show Johnny Stevens reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Bentonville, AR 72712
- Reassigned Medicare billing, Arkansas enrollment
- 148 clinicians in this Medicare group
Bentonville, AR 72712
- Reassigned Medicare billing, Arkansas enrollment
- 136 clinicians in this Medicare group
Springdale, AR 72762
- Reassigned Medicare billing, Arkansas enrollment
- 84 clinicians in this Medicare group
Siloam Springs, AR 72761
- Reassigned Medicare billing, Arkansas enrollment
- 57 clinicians in this Medicare group
Greenbriar, AR 72058
- Reassigned Medicare billing, Arkansas enrollment
- 55 clinicians in this Medicare group
Dallas, TX 75244
- Reassigned Medicare billing, Arkansas enrollment
- 354 clinicians in this Medicare group
Hoover, AL 35216
- Reassigned Medicare billing, Arkansas enrollment
- 55 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 8
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 72712 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Reported Quality Measures
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 Johnny Stevens's NPI number?
The NPI number for Johnny Stevens is 1093104895. It was assigned to this individual provider in the NPPES registry on January 16, 2015.
Where is Johnny Stevens located?
Johnny Stevens practices at 3101 SE 14th St Ste B, Bentonville, AR 72712. The listed phone number is (479) 250-1053.
What is Johnny Stevens's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Johnny Stevens enrolled in Medicare?
Yes. Johnny Stevens is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Johnny Stevens's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Johnny Stevens reassigns Medicare benefits to 7 organizations: South Arkansas Emergency Physicians, LLP (Bentonville, AR), Northwest Benton County Physician Services LLC (Bentonville, AR), Mercy Northwest Arkansas Ambulatory Services LLC (Springdale, AR), Siloam Springs Clinic Company LLC (Siloam Springs, AR), Fast Pace Mississippi, PLLC (Greenbriar, AR) and 2 more organizations, listed in the Medicare section above. Each 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 Johnny Stevens's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Johnny Stevens accept?
Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage and Octave list Johnny Stevens 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 Johnny Stevens was last updated on December 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Mr. Johnny Mac Stevens, APRN · NPI 1093104895
Family physician in Bentonville, Arkansas. Individual provider, active in the CMS NPPES registry since January 16, 2015.
## Identity
- **NPI:** 1093104895 (Entity type: Individual)
- **Enumerated:** January 16, 2015
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** A004282 (Arkansas)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3101 SE 14TH ST STE B, Bentonville, AR 72712-4900
- **Phone:** (479) 250-1053 · **Fax:** (479) 250-0923
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 7 organizations under Medicare reassignment (form CMS-855R): South Arkansas Emergency Physicians, LLP (NPI 1447671490, Bentonville, AR); Northwest Benton County Physician Services LLC (NPI 1871553073, Bentonville, AR); Mercy Northwest Arkansas Ambulatory Services LLC (NPI 1366922320, Springdale, AR); Siloam Springs Clinic Company LLC (NPI 1013155431, Siloam Springs, AR); Fast Pace Mississippi, PLLC (NPI 1982361259, Greenbriar, AR); and 2 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** December 6, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1093104895) · Data from the CMS NPPES public registry.