WESTERN ARKANSAS PLASTIC & RECONSTRUCTIVE SURGERY CENTER
NPI 1194730077
Plastic Surgery in Fort Smith, AR
About Western Arkansas Plastic & Reconstructive Surgery Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WESTERN ARKANSAS PLASTIC & RECONSTRUCTIVE SURGERY CENTER (NPI 1194730077) is a healthcare organization registered as a plastic surgery in Fort Smith, Arkansas and active in the NPI registry since July 2006. The organization lists James E Kelly, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
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)
Western Arkansas Plastic & Reconstructive Surgery Center 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
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Western Arkansas Plastic & Reconstructive Surgery Center, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
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 Western Arkansas Plastic & Reconstructive Surgery Center's NPI number?
The NPI number for Western Arkansas Plastic & Reconstructive Surgery Center is 1194730077. It was assigned to this organization in the NPPES registry on July 29, 2006.
Where is Western Arkansas Plastic & Reconstructive Surgery Center located?
Western Arkansas Plastic & Reconstructive Surgery Center is located at 8101 Mcclure Dr Ste 301, Fort Smith, AR 72916. The listed phone number is (479) 709-8300.
What is Western Arkansas Plastic & Reconstructive Surgery Center's specialty?
The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.
Is Western Arkansas Plastic & Reconstructive Surgery Center enrolled in Medicare?
Yes. Western Arkansas Plastic & Reconstructive Surgery Center is registered in the Medicare PECOS enrollment system.
When is Western Arkansas Plastic & Reconstructive Surgery Center's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Arkansas, Independently-Practicing Physical Therapist) 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 Western Arkansas Plastic & Reconstructive Surgery Center?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Western Arkansas Plastic & Reconstructive Surgery Center, in Nurse Practitioner and Plastic and Reconstructive Surgery. 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, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Western Arkansas Plastic & Reconstructive Surgery Center 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 Western Arkansas Plastic & Reconstructive Surgery Center 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 Western Arkansas Plastic & Reconstructive Surgery Center was last updated on January 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Western Arkansas Plastic & Reconstructive Surgery Center · NPI 1194730077
Plastic Surgery organization in Fort Smith, Arkansas. Organization record, active in the CMS NPPES registry since July 29, 2006.
## Identity
- **NPI:** 1194730077 (Entity type: Organization)
- **Enumerated:** July 29, 2006
- **Primary specialty:** Plastic Surgery · taxonomy 208200000X
- **Organization subpart:** No
- **Authorized official:** James Kelly, OWNER
## Practice location
- **Address:** 8101 MCCLURE DR STE 301, Fort Smith, AR 72916-6056
- **Phone:** (479) 709-8300 · **Fax:** (479) 709-8315
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (DME, Arkansas, Independently-Practicing Physical Therapist) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (1), Plastic and Reconstructive Surgery (1); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 8, 2020
- **Other identifiers:** Medicaid 130121001 (AR); Medicaid 100000480A (OK)
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Source: [NPI Profile](https://npiprofile.com/npi/1194730077) · Data from the CMS NPPES public registry.