CONWAY REGIONAL NEUROSCIENCE CENTER
NPI 1255879656
Psychiatry & Neurology - Neurology in Conway, AR

Q: What is Conway Regional Medical Center, Inc.'s NPI number?

The NPI number for Conway Regional Medical Center, Inc. is 1255879656. It was assigned to this organization in the NPPES registry on February 6, 2017. The provider is doing business as Conway Regional Neuroscience Center.

Q: What is Conway Regional Medical Center, Inc.'s specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Active since February 06, 2017

2200 ADA AVE STE 302, CONWAY, AR 72034(501) 932-0352(501) 932-0354 Get Directions Write a Review

NPPES record last updated: November 9, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 9, 2023, Mar 20, 2023, Dec 30, 2019 and 1 more (4 updates tracked since 2017).

On this page

About Conway Regional Neuroscience Center NPPES

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

CONWAY REGIONAL NEUROSCIENCE CENTER (NPI 1255879656) is a healthcare organization registered as a neurology in Conway, Arkansas and active in the NPI registry since February 2017. The organization lists William Pack, Cfo, as its authorized official.

NPPES Registry Identity

NPI1255879656

Entity TypeOrganization

Primary Taxonomy2084N0400X

Legal Business NameCONWAY REGIONAL MEDICAL CENTER, INC.

Location Address2200 ADA AVE STE 302Conway, AR 72034-4985

Mailing AddressPo Box 9662Conway, AR 72033-9662 · (501) 852-1363 · Fax (501) 852-1364

Phone(501) 932-0352

Fax(501) 932-0354

Organization SubpartNo

Authorized OfficialWilliam PackCfo · (501) 450-2112

Enumeration DateFebruary 6, 2017

Last NPPES UpdateNovember 9, 20234 updates tracked since enumeration

NPPES CertifiedNovember 9, 2023

✔ NPI 1255879656 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0400X

Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

2200 ADA AVE STE 302, Conway, AR 72034

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Other Names 1

Doing Business AsConway Regional Neuroscience Center

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 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 Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Conway Regional Neuroscience Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 4 clinicians reassign Medicare billing to Conway Regional Neuroscience Center, which bills Medicare for the services they deliver. Of these, 4 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

Mark Clark, PHD

Clinical Psychologist

NPI 1306921853

2200 ADA AVE STE 302
Conway, AR 72034

(501) 932-0352

✔ PECOS✔ Accepts MedicareSame address

Timothy Freyaldenhoven, MD

Neurology

NPI 1174520258

2200 ADA AVE STE 302
Conway, AR 72034

(501) 932-0352

✔ PECOS✔ Accepts MedicareSame address

Elana Russell, APRN

Nurse Practitioner

NPI 1831589720

2200 ADA AVE STE 302
Conway, AR 72034

(501) 932-0352

✔ PECOS✔ Accepts MedicareSame address

Keith Schluterman, M.D.

Neurology

NPI 1053318147

2200 ADA AVE STE 302
Conway, AR 72034

(501) 932-0352

✔ PECOS✔ Accepts MedicareSame address

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 Conway Regional Medical Center, Inc.'s NPI number?

The NPI number for Conway Regional Medical Center, Inc. is 1255879656. It was assigned to this organization in the NPPES registry on February 6, 2017. The provider is doing business as Conway Regional Neuroscience Center.

Where is Conway Regional Medical Center, Inc. located?

Conway Regional Medical Center, Inc. is located at 2200 Ada Ave Ste 302, Conway, AR 72034. The listed phone number is (501) 932-0352.

What is Conway Regional Medical Center, Inc.'s specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Conway Regional Medical Center, Inc. enrolled in Medicare?

Yes. Conway Regional Medical Center, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Conway Regional Medical Center, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Conway Regional Medical Center, Inc., in Clinical Psychologist, Neurology 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, 4 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Conway Regional Medical Center, Inc. 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 Conway Regional Medical Center, Inc. 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 Conway Regional Medical Center, Inc. was last updated on November 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.