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OUACHITA FAMILY PRACTICE LLC
NPI 1225289978
Nurse Practitioner - Family in Mena, AR

Active since September 30, 2008CLIA 04D0951056 · Microscopy
1210 DEQUEEN ST, MENA, AR 71953(479) 394-5068(479) 394-5626 Get Directions Write a Review

NPPES record last updated: November 25, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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, 2026 and lists Debbie Kincaid, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1225289978
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameOUACHITA FAMILY PRACTICE LLC
Location Address1210 DEQUEEN STMena, AR 71953-4132
Mailing AddressPo Box 1788Mena, AR 71953-1781 · (479) 394-5068
Phone(479) 394-5068
Fax(479) 394-5626
Organization SubpartNo
Authorized OfficialDebbie KincaidPractice Manager · (479) 394-5068
Enumeration DateSeptember 30, 2008
Last NPPES UpdateNovember 25, 2013
✔ NPI 1225289978 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in AR · A01300-ANP✔ Licensed in AR · A03080ANP
Also ListedFamily MedicineTaxonomy 207Q00000X · License N6236 (AR)
1210 DEQUEEN ST, Mena, AR 71953
Open in Google Maps ↗

Other Identifiers 4

Medicaid175314762AR
Medicaid182122002AR
Other5A866AR · Ptan
Other5U119AR · Ptan

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

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

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, AR
Active · expires Sep 10, 2026
CLIA Number04D0951056
Laboratory TypePractitioner Other
Certificate Effective DateSeptember 11, 2024
Certificate Expiration DateSeptember 10, 2026
Laboratory DirectorMs. Debra I. Fairless
Laboratory Phone(479) 394-5068
Laboratory LocationOuachita Family Practice LLC1210 Dequeen St, Mena, AR 71953
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

OCEAN MIRANDA BREWER APRN-CNP
Nurse Practitioner (Family)
1210 DEQUEEN ST
MENA, AR 71953
Polk County (479) 394-5068
MRS. DEBRA INEVIA FAIRLESS APN
Nurse Practitioner (Family)
1210 DEQUEEN ST
MENA, AR 71953
Polk County (479) 394-5068
SHARON MCGEE MHPP
Case Manager/Care Coordinator
1210 DEQUEEN ST
MENA, AR 71953
Polk County (479) 243-0303
JEREMIAH BREWER MHPP
Case Manager/Care Coordinator
1210 DEQUEEN ST
MENA, AR 71953
Polk County (479) 394-3200
BILL R MCCOURTNEY II MD
Family Medicine
1210 DEQUEEN ST
MENA, AR 71953
Polk County (479) 243-0303

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 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.

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, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Ouachita Family Practice LLC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 2 other insurers list Ouachita Family Practice LLC 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 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.