MARIE CHANTALE CROSSE-SUMLIN APRN
NPI 1205846813
Nurse Practitioner - Community Health in Springdale, AR

Q: What is Marie Crosse-sumlin's NPI number?

The NPI number for Marie Crosse-sumlin is 1205846813. It was assigned to this individual provider in the NPPES registry on August 8, 2006. The provider is also known as Marie Chantal Sumlin Apn.

Q: What is Marie Crosse-sumlin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Community Health, with taxonomy code 363LC1500X.

Active since August 08, 2006PECOS Enrolled

3291 S THOMPSON ST STE G102, SPRINGDALE, AR 72764(479) 320-8588(903) 209-2907 Get Directions Write a Review

NPPES record last updated: February 8, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 8, 2025, Jan 23, 2023 (2 updates tracked since 2023).

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About Marie Chantale Crosse-sumlin Aprn NPPES

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

MARIE CHANTALE CROSSE-SUMLIN APRN (NPI 1205846813) is an individual community health provider in Springdale, Arkansas, licensed in Arkansas (A01830ANP) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Prairie Grove.

NPPES Registry Identity

NPI1205846813

Entity TypeIndividualFemale

Primary Taxonomy363LC1500X

Provider Legal NameMARIE CHANTALE CROSSE-SUMLINCredential: APRN

Location Address3291 S THOMPSON ST STE G102Springdale, AR 72764-6722

Mailing Address4327 E Black Canyon StFayetteville, AR 72701-5875 · (479) 409-9973 · Fax (903) 209-2907

Phone(479) 320-8588

Fax(903) 209-2907

Sole ProprietorNo

Enumeration DateAugust 8, 2006

Last NPPES UpdateFebruary 8, 20252 updates tracked since enumeration

NPPES CertifiedFebruary 8, 2025

✔ NPI 1205846813 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Community HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LC1500X

License✔ Licensed in AR · A01830ANP

3291 S THOMPSON ST STE G102, Springdale, AR 72764

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Other Names 1

Former Name (1)Marie Chantal Sumlin Apn

Secondary Practice Location 1

Location 1801 Viney Grove RdPrairie Grove, AR 72753-2623 · Phone (479) 846-8100 · Fax (479) 400-6024

Other Identifiers 1

Medicaid155918758AR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marie Chantale Crosse-sumlin Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Marie Crosse-sumlin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

St Francis House Nwa, Inc

0.9 mi

Federally Qualified Health Center (FQHC)

2878 POWELL ST
Springdale, AR 72764

Reassigned Medicare billing, Arkansas enrollment
80 clinicians in this Medicare group

NPI 1609272640 (479) 872-3045

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72764 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.

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 Marie Crosse-sumlin's NPI number?

The NPI number for Marie Crosse-sumlin is 1205846813. It was assigned to this individual provider in the NPPES registry on August 8, 2006. The provider is also known as Marie Chantal Sumlin Apn.

Where is Marie Crosse-sumlin located?

Marie Crosse-sumlin practices at 3291 S Thompson St Ste G102, Springdale, AR 72764. The listed phone number is (479) 320-8588.

What is Marie Crosse-sumlin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Community Health, with taxonomy code 363LC1500X.

Is Marie Crosse-sumlin enrolled in Medicare?

Yes. Marie Crosse-sumlin is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Marie Crosse-sumlin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marie Crosse-sumlin reassigns Medicare benefits to St Francis House Nwa, Inc (Springdale, AR). The 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 Marie Crosse-sumlin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Marie Crosse-sumlin 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 4 other insurers list Marie Crosse-sumlin 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 Marie Crosse-sumlin was last updated on February 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.