REILLY ROBERTS FNP
NPI 1194684720
Nurse Practitioner - Family in Bentonville, AR

Q: What is Reilly Roberts's NPI number?

The NPI number for Reilly Roberts is 1194684720. It was assigned to this individual provider in the NPPES registry on January 20, 2026.

Q: What is Reilly Roberts's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Reilly Roberts was last updated on January 20, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since January 20, 2026PECOS Enrolled

1720 S WALTON BLVD STE 6, BENTONVILLE, AR 72712(479) 464-0834 Get Directions Write a Review

NPPES record last updated: January 20, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Reilly Roberts Fnp NPPES

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

REILLY ROBERTS FNP (NPI 1194684720) is an individual family provider in Bentonville, Arkansas, licensed in Arkansas (236216) and active in the NPI registry since January 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1194684720

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameREILLY ROBERTSCredential: FNP

Location Address1720 S WALTON BLVD STE 6Bentonville, AR 72712-7533

Mailing Address3607 Sw 106th StGainesville, FL 32608-9177 · (662) 588-9889

Phone(479) 464-0834

Sole ProprietorYes

Medical School CMSOtherGraduated 2025

Enumeration DateJanuary 20, 2026

NPPES CertifiedJanuary 16, 2026

✔ NPI 1194684720 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in AR · 236216

1720 S WALTON BLVD STE 6, Bentonville, AR 72712

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Reilly Roberts Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7810476322

PECOS Enrollment IDI20260205000659

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.

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