OUACHITA FAMILY PRACTICE LLC
NPI 1225289978
Nurse Practitioner - Family in Mena, AR
About Ouachita Family Practice Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
OUACHITA FAMILY PRACTICE LLC (NPI 1225289978) is a healthcare organization registered as a family in Mena, Arkansas and active in the NPI registry since September 2008. The organization holds a CLIA Microscopy certificate valid through September 10, 2028 and lists Debbie Kincaid, Practice Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 4
Group Practice 1
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)
Ouachita Family Practice Llc 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
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Ouachita Family Practice LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 4 within 10 miles. They are listed nearest first.
Clinicians, nearest first (4)
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) 04D0951056
Ouachita Family Practice LLC · Mena, 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 Ouachita Family Practice LLC's NPI number?
The NPI number for Ouachita Family Practice LLC is 1225289978. It was assigned to this organization in the NPPES registry on September 30, 2008.
Where is Ouachita Family Practice LLC located?
Ouachita Family Practice LLC is located at 1210 Dequeen St, Mena, AR 71953. The listed phone number is (479) 394-5068.
What is Ouachita Family Practice LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Ouachita Family Practice LLC enrolled in Medicare?
Yes. Ouachita Family Practice LLC is registered in the Medicare PECOS enrollment system.
When is Ouachita Family Practice LLC'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 Ouachita Family Practice LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Ouachita Family Practice LLC, in Family Practice and Nurse Practitioner. 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, 3 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Ouachita Family Practice LLC hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 04D0951056) is associated with this NPI, valid through September 10, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Ouachita Family Practice LLC was last updated on November 25, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Ouachita Family Practice Llc · NPI 1225289978
Family organization in Mena, Arkansas. Organization record, active in the CMS NPPES registry since September 30, 2008.
## Identity
- **NPI:** 1225289978 (Entity type: Organization)
- **Enumerated:** September 30, 2008
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Debbie Kincaid, PRACTICE MANAGER
## Practice location
- **Address:** 1210 DEQUEEN ST, Mena, AR 71953-4132
- **Phone:** (479) 394-5068 · **Fax:** (479) 394-5626
## 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:** 4 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (2), Nurse Practitioner (2); 3 practice at this address and 4 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 25, 2013
- **Other identifiers:** Medicaid 175314762 (AR); Medicaid 182122002 (AR); Other 5A866 (AR); and 1 more
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1225289978) · Data from the CMS NPPES public registry.