LITTLE ROCK ALLERGY & ASTHMA CLINIC PA
NPI 1154360576
Allergy & Immunology in Little Rock, AR
About Little Rock Allergy & Asthma Clinic Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LITTLE ROCK ALLERGY & ASTHMA CLINIC PA (NPI 1154360576) is a healthcare organization registered as an allergy & immunology in Little Rock, Arkansas and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through October 25, 2026 and lists Jennifer Wake, Operations Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Little Rock Allergy & Asthma Clinic Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
7Medicare enrollment records show 7 clinicians reassign Medicare billing to Little Rock Allergy & Asthma Clinic PA, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 7 within 10 miles. They are listed nearest first.
Clinicians, nearest first (7)
Little Rock, AR 72205
Little Rock, AR 72205
Little Rock, AR 72205
Little Rock, AR 72205
Little Rock, AR 72205
Little Rock, AR 72205
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 04D1032600
Little Rock Allergy Asthma Research · Little Rock, ARFrequently 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 Little Rock Allergy & Asthma Clinic PA's NPI number?
The NPI number for Little Rock Allergy & Asthma Clinic PA is 1154360576. It was assigned to this organization in the NPPES registry on June 5, 2006.
Where is Little Rock Allergy & Asthma Clinic PA located?
Little Rock Allergy & Asthma Clinic PA is located at 18 Corporate Hill Dr Suite 110, Little Rock, AR 72205. The listed phone number is (501) 224-1156.
What is Little Rock Allergy & Asthma Clinic PA's specialty?
The primary specialty registered for this NPI is Allergy & Immunology with taxonomy code 207K00000X.
Is Little Rock Allergy & Asthma Clinic PA enrolled in Medicare?
Yes. Little Rock Allergy & Asthma Clinic PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Little Rock Allergy & Asthma Clinic PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 2 Medicare specialties reassign their Medicare billing to Little Rock Allergy & Asthma Clinic PA. 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 Allergy/Immunology (6) and Nurse Practitioner (1). Of these, 6 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Little Rock Allergy & Asthma Clinic PA hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 04D1032600) is associated with this NPI, valid through October 25, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Little Rock Allergy & Asthma Clinic PA accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Little Rock Allergy & Asthma Clinic PA 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 Little Rock Allergy & Asthma Clinic PA was last updated on October 16, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Little Rock Allergy & Asthma Clinic Pa · NPI 1154360576
Allergy & Immunology organization in Little Rock, Arkansas. Organization record, active in the CMS NPPES registry since June 5, 2006.
## Identity
- **NPI:** 1154360576 (Entity type: Organization)
- **Enumerated:** June 5, 2006
- **Primary specialty:** Allergy & Immunology · taxonomy 207K00000X
- **Organization subpart:** No
- **Authorized official:** Jennifer Wake, OPERATIONS MANAGER
## Practice location
- **Address:** 18 CORPORATE HILL DR, SUITE 110, Little Rock, AR 72205-4565
- **Phone:** (501) 224-1156 · **Fax:** (501) 801-5561
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 7 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Allergy/Immunology (6), Nurse Practitioner (1); 6 practice at this address and 7 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 16, 2014
- **Other identifiers:** Medicaid 104919002 (AR); Medicare ID-Type Unspecified 57426 (AR)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1154360576) · Data from the CMS NPPES public registry.