VISTA HEALTH PHYSICAN GROUP
NPI 1114040888
Psychiatry & Neurology - Psychiatry in Fayetteville, AR
About Vista Health Physican Group NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
VISTA HEALTH PHYSICAN GROUP (NPI 1114040888) is a healthcare organization registered as a psychiatry in Fayetteville, Arkansas and active in the NPI registry since April 2007. The organization lists Brian P. Farley, Vice President & Secretary, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Vista Health Physican Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
51Medicare enrollment records show 51 clinicians reassign Medicare billing to Vista Health Physican Group, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 13 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 6
Nearest to this location (20)
See all 51Fayetteville, AR 72703
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Texarkana Behavioral Associates Lc's NPI number?
The NPI number for Texarkana Behavioral Associates Lc is 1114040888. It was assigned to this organization in the NPPES registry on April 9, 2007. The provider is also known as Vista Health Physican Group.
Where is Texarkana Behavioral Associates Lc located?
Texarkana Behavioral Associates Lc is located at 4253 N Crossover Rd, Fayetteville, AR 72703. The listed phone number is (479) 521-5731.
What is Texarkana Behavioral Associates Lc's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.
Is Texarkana Behavioral Associates Lc enrolled in Medicare?
Yes. Texarkana Behavioral Associates Lc is registered in the Medicare PECOS enrollment system.
When is Texarkana Behavioral Associates Lc's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Arkansas, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Texarkana Behavioral Associates Lc?
According to the CMS Revalidation Reassignment List (October 2026 release), 51 clinicians in 6 Medicare specialties reassign their Medicare billing to Texarkana Behavioral Associates Lc. 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 Nurse Practitioner (24), Psychiatry (12) and Clinical Social Worker (10). Of these, 1 practice at this address and 13 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Texarkana Behavioral Associates Lc was last updated on August 27, 2023. 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.
# Vista Health Physican Group · NPI 1114040888
Psychiatry organization in Fayetteville, Arkansas. Organization record, active in the CMS NPPES registry since April 9, 2007.
## Identity
- **NPI:** 1114040888 (Entity type: Organization)
- **Enumerated:** April 9, 2007
- **Primary specialty:** Psychiatry & Neurology - Psychiatry · taxonomy 2084P0800X
- **Legal business name:** Texarkana Behavioral Associates Lc
- **Organization subpart:** No
- **Authorized official:** Brian Farley, VICE PRESIDENT & SECRETARY
## Practice location
- **Address:** 4253 N CROSSOVER RD, Fayetteville, AR 72703-4593
- **Phone:** (479) 521-5731 · **Fax:** (479) 521-4926
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, Arkansas, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 51 clinicians in 6 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (24), Psychiatry (12), Clinical Social Worker (10); 1 practice at this address and 13 within 10 miles; [full list](https://npiprofile.com/npi/1114040888/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 27, 2023
- **Other identifiers:** Medicaid 162558002 (AR)
---
Source: [NPI Profile](https://npiprofile.com/npi/1114040888) · Data from the CMS NPPES public registry.