MANA FOOT & ANKLE CLINIC
NPI 1164140729
Podiatrist in Fayetteville, AR
About Mana Foot & Ankle Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MANA FOOT & ANKLE CLINIC (NPI 1164140729) is a healthcare organization registered as a podiatrist in Fayetteville, Arkansas and active in the NPI registry since August 2022. The organization maintains a secondary practice location in Fayetteville and lists Terry Hurt, Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 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)
Mana Foot & Ankle Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 2026
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
124Medicare enrollment records show 124 clinicians reassign Medicare billing to Mana Foot & Ankle Clinic, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 110 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 14
Nearest to this location (20)
See all 124Source: 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 Medical Associates Of Northwest Arkansas PA's NPI number?
The NPI number for Medical Associates Of Northwest Arkansas PA is 1164140729. It was assigned to this organization in the NPPES registry on August 19, 2022. The provider is also known as Mana Foot & Ankle Clinic.
Where is Medical Associates Of Northwest Arkansas PA located?
Medical Associates Of Northwest Arkansas PA is located at 3264 N Northhills Blvd, Fayetteville, AR 72703. The listed phone number is (479) 435-2400.
What is Medical Associates Of Northwest Arkansas PA's specialty?
The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.
Is Medical Associates Of Northwest Arkansas PA enrolled in Medicare?
Yes. Medical Associates Of Northwest Arkansas PA is registered in the Medicare PECOS enrollment system.
When is Medical Associates Of Northwest Arkansas PA's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Arkansas, Physician - Unknown Physician Specialty) is due for revalidation by November 30, 2026. 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 Medical Associates Of Northwest Arkansas PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 124 clinicians in 14 Medicare specialties reassign their Medicare billing to Medical Associates Of Northwest Arkansas 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 Family Practice (33), Nurse Practitioner (22) and Pediatric Medicine (19). Of these, 2 practice at this address and 110 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 Medical Associates Of Northwest Arkansas PA was last updated on August 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Mana Foot & Ankle Clinic · NPI 1164140729
Podiatrist organization in Fayetteville, Arkansas. Organization record, active in the CMS NPPES registry since August 19, 2022.
## Identity
- **NPI:** 1164140729 (Entity type: Organization)
- **Enumerated:** August 19, 2022
- **Primary specialty:** Podiatrist · taxonomy 213E00000X
- **Legal business name:** Medical Associates Of Northwest Arkansas Pa
- **Organization subpart:** No
- **Authorized official:** Terry Hurt, CFO
## Practice location
- **Address:** 3264 N NORTHHILLS BLVD, Fayetteville, AR 72703-4005
- **Phone:** (479) 435-2400 · **Fax:** (479) 435-2401
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (DME, Arkansas, Physician - Unknown Physician Specialty) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 124 clinicians in 14 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (33), Nurse Practitioner (22), Pediatric Medicine (19); 2 practice at this address and 110 within 10 miles; [full list](https://npiprofile.com/npi/1164140729/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 9, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1164140729) · Data from the CMS NPPES public registry.