SHANICA NEMBHARD
NPI 1124744321
Pediatrics in Bentonville, AR

Q: What is Shanica Nembhard's NPI number?

The NPI number for Shanica Nembhard is 1124744321. It was assigned to this individual provider in the NPPES registry on October 18, 2022.

Q: What is Shanica Nembhard's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Shanica Nembhard was last updated on November 29, 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.

Active since October 18, 2022PECOS Enrolled

3101 SE 14TH ST, BENTONVILLE, AR 72712(479) 636-9234(479) 636-0774 Get Directions Write a Review

NPPES record last updated: November 29, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 29, 2022, Oct 18, 2022 (2 updates tracked since 2022).

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About Shanica Nembhard NPPES

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

SHANICA NEMBHARD (NPI 1124744321) is an individual pediatrics provider in Bentonville, Arkansas, licensed in Arkansas (215215) and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124744321

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameSHANICA NEMBHARD

Location Address3101 SE 14TH STBentonville, AR 72712-4900

Mailing Address3101 Se 14th StBentonville, AR 72712-4900 · (479) 636-9234 · Fax (479) 636-0774

Phone(479) 636-9234

Fax(479) 636-0774

Sole ProprietorNo

Enumeration DateOctober 18, 2022

Last NPPES UpdateNovember 29, 20222 updates tracked since enumeration

NPPES CertifiedNovember 29, 2022

✔ NPI 1124744321 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in AR · 215215

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

3101 SE 14TH ST, Bentonville, AR 72712

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shanica Nembhard is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMAL K DUDAR PA-C

Physician Assistant