INTEGRATED CARE PROFESSIONALS, LLC
NPI 1164762662
Clinical Nurse Specialist in Little Rock, AR
About Integrated Care Professionals, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
INTEGRATED CARE PROFESSIONALS, LLC (NPI 1164762662) is a healthcare organization registered as a clinical nurse specialist in Little Rock, Arkansas and active in the NPI registry since February 2013. The organization lists Randy Fortner, Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Integrated Care Professionals, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
37Medicare enrollment records show 37 clinicians reassign Medicare billing to Integrated Care Professionals, LLC, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 10 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 2
Nearest to this location (20)
See all 37Little Rock, AR 72201
Little Rock, AR 72201
Little Rock, AR 72201
Little Rock, AR 72201
Little Rock, AR 72201
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 Integrated Care Professionals, LLC's NPI number?
The NPI number for Integrated Care Professionals, LLC is 1164762662. It was assigned to this organization in the NPPES registry on February 20, 2013.
Where is Integrated Care Professionals, LLC located?
Integrated Care Professionals, LLC is located at 200 River Market Ave Ste 300, Little Rock, AR 72201. The listed phone number is (479) 968-8279.
What is Integrated Care Professionals, LLC's specialty?
The primary specialty registered for this NPI is Clinical Nurse Specialist with taxonomy code 364S00000X.
Is Integrated Care Professionals, LLC enrolled in Medicare?
Yes. Integrated Care Professionals, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Integrated Care Professionals, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 37 clinicians in 2 Medicare specialties reassign their Medicare billing to Integrated Care Professionals, LLC. 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 (36) and Certified Clinical Nurse Specialist (CNS) (1). Of these, 6 practice at this address and 10 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 Integrated Care Professionals, LLC was last updated on June 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Integrated Care Professionals, Llc · NPI 1164762662
Clinical Nurse Specialist organization in Little Rock, Arkansas. Organization record, active in the CMS NPPES registry since February 20, 2013.
## Identity
- **NPI:** 1164762662 (Entity type: Organization)
- **Enumerated:** February 20, 2013
- **Primary specialty:** Clinical Nurse Specialist · taxonomy 364S00000X
- **Organization subpart:** No
- **Authorized official:** Randy Fortner, MANAGER
## Practice location
- **Address:** 200 RIVER MARKET AVE STE 300, Little Rock, AR 72201-1770
- **Phone:** (479) 968-8279
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 37 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (36), Certified Clinical Nurse Specialist (CNS) (1); 6 practice at this address and 10 within 10 miles; [full list](https://npiprofile.com/npi/1164762662/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 13, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1164762662) · Data from the CMS NPPES public registry.