LIFESPRING WOMEN'S HEALTHCARE PA
NPI 1164519450
Obstetrics & Gynecology in Bentonville, AR
About Lifespring Women's Healthcare Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LIFESPRING WOMEN'S HEALTHCARE PA (NPI 1164519450) is a healthcare organization registered as an obstetrics & gynecology in Bentonville, Arkansas and active in the NPI registry since October 2006. The organization holds a CLIA Microscopy certificate valid through July 28, 2028 and lists J Todd Hannah, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Group Practice 1
Accepted Insurance
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)
Lifespring Women's Healthcare Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by December 31, 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
10Medicare enrollment records show 10 clinicians reassign Medicare billing to Lifespring Women's Healthcare PA, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 7 within 10 miles. They are listed nearest first.
Clinicians, nearest first (10)
Johnson, AR 72741
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 for Provider-Performed Microscopy Procedures (PPMP) 04D2308420
Lifespring Women's Healthcare · Bentonville, 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 Lifespring Women's Healthcare PA's NPI number?
The NPI number for Lifespring Women's Healthcare PA is 1164519450. It was assigned to this organization in the NPPES registry on October 6, 2006.
Where is Lifespring Women's Healthcare PA located?
Lifespring Women's Healthcare PA is located at 1200 SE 28th St 2, Bentonville, AR 72712. The listed phone number is (479) 271-0005.
What is Lifespring Women's Healthcare PA's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.
Is Lifespring Women's Healthcare PA enrolled in Medicare?
Yes. Lifespring Women's Healthcare PA is registered in the Medicare PECOS enrollment system.
When is Lifespring Women's Healthcare PA'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 December 31, 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 Lifespring Women's Healthcare PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians, all in Obstetrics/Gynecology, reassign their Medicare billing to Lifespring Women's Healthcare 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. Of these, 4 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Lifespring Women's Healthcare PA hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 04D2308420) is associated with this NPI, valid through July 28, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Lifespring Women's Healthcare PA accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Sunflower Health Plan and 3 other insurers list Lifespring Women's Healthcare 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 Lifespring Women's Healthcare PA was last updated on July 8, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Lifespring Women's Healthcare Pa · NPI 1164519450
Obstetrics & Gynecology organization in Bentonville, Arkansas. Organization record, active in the CMS NPPES registry since October 6, 2006.
## Identity
- **NPI:** 1164519450 (Entity type: Organization)
- **Enumerated:** October 6, 2006
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **Organization subpart:** No
- **Authorized official:** J Hannah, OWNER
## Practice location
- **Address:** 1200 SE 28TH ST, 2, Bentonville, AR 72712-3881
- **Phone:** (479) 271-0005 · **Fax:** (479) 273-1427
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (Non-DME Part B, Arkansas, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 10 clinicians (Obstetrics/Gynecology) reassign Medicare billing to this organization (form CMS-855R); 4 practice at this address and 7 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 8, 2013
- **Other identifiers:** Other 5F652 (AR); Medicaid 162837002 (AR); Medicare PIN 5F652 (AR)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1164519450) · Data from the CMS NPPES public registry.