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AUDRA COLE D.O.
NPI 1104210830
Obstetrics & Gynecology in Bentonville, AR

Active since March 19, 2015PECOS EnrolledAccepts Medicare Assignment
1200 SE 28TH ST STE 2, BENTONVILLE, AR 72712(479) 271-0005(479) 273-1427 Get Directions Write a Review

NPPES record last updated: August 18, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 18, 2021, Oct 20, 2020 (2 updates tracked since 2020).

About Audra Cole D.o. NPPES

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

AUDRA COLE D.O. (NPI 1104210830) is an individual obstetrics & gynecology provider in Bentonville, Arkansas, licensed in Arkansas (E-12028) and active in the NPI registry since March 2015. She is enrolled in Medicare PECOS and is a graduate of Oklahoma State University College Of Osteopathic Medicine (2019).

NPPES Registry Identity

NPI1104210830
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameAUDRA COLECredential: D.O.
Location Address1200 SE 28TH ST STE 2Bentonville, AR 72712-4641
Mailing Address1200 Se 28th St Ste 2Bentonville, AR 72712-4641 · (479) 271-0005 · Fax (479) 273-1427
Phone(479) 271-0005
Fax(479) 273-1427
Sole ProprietorNo
Medical School CMSOklahoma State University College Of Osteopathic MedicineGraduated 2019
Enumeration DateMarch 19, 2015
Last NPPES UpdateAugust 18, 20212 updates tracked since enumeration
NPPES CertifiedAugust 18, 2021
✔ NPI 1104210830 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in AR · E-12028
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1200 SE 28TH ST STE 2, Bentonville, AR 72712
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter Health 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 and accepts Medicare assignment

Audra Cole D.o. 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 ID5395079453
PECOS Enrollment IDI20190624000611
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 Reassignments

2

Medicare enrollment records show Audra Cole reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lifespring Women's Healthcare PA
Same address
Obstetrics & Gynecology
1200 SE 28TH ST, 2
Bentonville, AR 72712
  • Reassigned Medicare billing, Arkansas enrollment
  • 10 clinicians in this Medicare group
NPI 1164519450 (479) 271-0005
Jefferson Hospital Association, Inc
193 mi
Obstetrics & Gynecology
1600 W 40TH AVE
Pine Bluff, AR 71603
  • Reassigned Medicare billing, Arkansas enrollment
  • 11 clinicians in this Medicare group
NPI 1669851929 (870) 541-7100

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

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
$119.36 typical visit price
range $51.36 – $157.74
Typical copayment $29.84 (range $12.84 – $39.43)
Most-billed visit code 99204
Established Patient
$64.56 typical visit price
range $16.16 – $128.77
Typical copayment $16.14 (range $4.04 – $32.19)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Audra Cole's NPI number?

The NPI number for Audra Cole is 1104210830. It was assigned to this individual provider in the NPPES registry on March 19, 2015.

Where is Audra Cole located?

Audra Cole practices at 1200 SE 28th St Ste 2, Bentonville, AR 72712. The listed phone number is (479) 271-0005.

What is Audra Cole's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Audra Cole enrolled in Medicare?

Yes. Audra Cole 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 Audra Cole's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Audra Cole reassigns Medicare benefits to 2 organizations: Lifespring Women's Healthcare PA (Bentonville, AR) and Jefferson Hospital Association, Inc (Pine Bluff, AR). 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 Audra Cole's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Audra Cole accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 3 other insurers list Audra Cole 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 Audra Cole was last updated on August 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.