MR. JOHNNY MAC STEVENS APRN
NPI 1093104895
Nurse Practitioner - Family in Bentonville, AR

Active since January 16, 2015PECOS EnrolledAccepts Medicare Assignment
3101 SE 14TH ST STE B, BENTONVILLE, AR 72712(479) 250-1053(479) 250-0923 Get Directions Write a Review

NPPES record last updated: December 6, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1093104895
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. JOHNNY MAC STEVENSCredential: APRN
Location Address3101 SE 14TH ST STE BBentonville, AR 72712-4900
Mailing Address3101 Se 14th St Ste BBentonville, AR 72712-4900 · (479) 250-1053 · Fax (479) 250-0923
Fax(479) 250-0923
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateJanuary 16, 2015
Last NPPES UpdateDecember 6, 2022
NPPES CertifiedDecember 6, 2022
NPI 1093104895 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
License Licensed in AR · A004282
3101 SE 14TH ST STE B, Bentonville, AR 72712

Secondary Practice Location 1

Location 116485 Aubrey Long RdGentry, AR 72734-9671 · Phone (479) 530-5279

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID143547968
PECOS Enrollment IDI20220609000469
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.

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.

Membrane graft or membrane wrap, per square centimeter Q4205
A membrane graft or wrap is a surgical procedure where a special material is used to replace or support damaged tissue. This material, measured per square centimeter, acts like a scaffold, helping your body to regenerate healthy tissue in the affected area.
1,956 services16 patients
Therapy procedure using ultrasound 97610
Ultrasound therapy is a treatment used to heal and relieve pain. It involves using sound waves to stimulate body tissues, promoting healing and reducing inflammation. It's non-invasive, painless, and typically used for muscle, ligament injuries, or chronic pain.
185 services26 patients
Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less 15271
This procedure involves applying a skin substitute graft to a wound on the trunk, arms, or legs. The graft, a lab-grown skin, is used to cover a wound area of 25.0 sq cm or less, within a total wound area of 100.0 sq cm or less. It aids in healing and regeneration.
104 services16 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
104 services33 patients
Preparation of skin graft site of trunk, arms, or legs, 100.0 sq cm or 1% body area for infants and children, or less 15002
This procedure involves preparing a specific area of the body (trunk, arms, or legs) for a skin graft. The area is cleaned and any dead tissue is removed to ensure a successful graft. The procedure covers an area of 100.0 sq cm or 1% of a child's body.
87 services16 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
28 services19 patients

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.

New Patient
$79.72 typical visit price
range $51.36 – $157.74
Typical copayment $19.93 (range $12.84 – $39.43)
Most-billed visit code 99203
Established Patient
$91.63 typical visit price
range $16.16 – $128.77
Typical copayment $22.90 (range $4.04 – $32.19)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
13%39 patients1/55-star benchmark: 92%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
13%71 patients1/55-star benchmark: 85%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
7%466 patients1/55-star benchmark: 88%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

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.