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MRS. SAVANNAH MAENSIVU ROSAMOND
NPI 1265201230
Nurse Practitioner - Family in Bentonville, AR

Active since January 01, 2024PECOS Enrolled
901 SE PLAZA AVE STE 5, BENTONVILLE, AR 72712(479) 273-3376(479) 273-3468 Get Directions Write a Review

NPPES record last updated: July 15, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 15, 2026, Jan 1, 2024 (2 updates tracked since 2024).

About Mrs. Savannah Maensivu Rosamond NPPES

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

MRS. SAVANNAH MAENSIVU ROSAMOND (NPI 1265201230) is an individual family provider in Bentonville, Arkansas, licensed in Arkansas (226826) and active in the NPI registry since January 2024. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2026).

NPPES Registry Identity

NPI1265201230
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. SAVANNAH MAENSIVU ROSAMOND
Location Address901 SE PLAZA AVE STE 5Bentonville, AR 72712-5473
Mailing Address901 Se Plaza Ave Ste 5Bentonville, AR 72712-5473 · (479) 273-3376 · Fax (479) 273-3468
Phone(479) 273-3376
Fax(479) 273-3468
Sole ProprietorNo
Medical School CMSOtherGraduated 2026
Enumeration DateJanuary 1, 2024
Last NPPES UpdateJuly 15, 20262 updates tracked since enumeration
NPPES CertifiedJuly 15, 2026
✔ NPI 1265201230 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in AR · 226826
901 SE PLAZA AVE STE 5, Bentonville, AR 72712
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11702 SE 8th St Ste 10Bentonville, AR 72712-2891 · Phone (479) 273-3376 · Fax (479) 273-3468
Location 25691 Gateway Ave, Suite DSpringdale, AR 72762 · Phone (479) 273-3376 · Fax (479) 273-3468

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Health Advantage, Octave.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Savannah Maensivu Rosamond is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2961961867
PECOS Enrollment IDI20260831000525
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 Savannah Rosamond reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Premier Dermatology Services PLLC
Same address
Dermatology
901 SE PLAZA AVE STE 5
Bentonville, AR 72712
  • Reassigned Medicare billing, Arkansas enrollment
  • 3 clinicians in this Medicare group
NPI 1154117463 (479) 273-3376

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 72712 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.

Other Providers at the Same Location NPPES 11

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

PREMIER DERMATOLOGY SERVICES PLLC
Dermatology
901 SE PLAZA AVE STE 5
BENTONVILLE, AR 72712
Benton County (479) 273-3376
JENNY AMANDA SIMMONS M.S., PA-C
Physician Assistant
901 SE PLAZA AVE STE 5
BENTONVILLE, AR 72712
Benton County (479) 273-3376
KARA JO RICHARDSON P.A.
Physician Assistant
901 SE PLAZA AVE STE 5
BENTONVILLE, AR 72712
Benton County (479) 273-3376
CHERI CAROLINE CUNNINGHAM M.D
Dermatology
901 SE PLAZA AVE STE 5
BENTONVILLE, AR 72712
Benton County (479) 273-3376
ALEXANDRA N HUETT PA
Physician Assistant
901 SE PLAZA AVE STE 5
BENTONVILLE, AR 72712
Benton County (479) 273-3376
SHAZHOU LUO A.N.P
Nurse Practitioner
901 SE PLAZA AVE STE 5
BENTONVILLE, AR 72712
Benton County (479) 273-3376
MR. LEE WALTER THOMAS PA-C
Physician Assistant
901 SE PLAZA AVE STE 5
BENTONVILLE, AR 72712
Benton County (479) 273-3376
MIMI HENDERSON HILL PA-C
Physician Assistant (Medical)
901 SE PLAZA AVE STE 5
BENTONVILLE, AR 72712
Benton County (479) 273-3376

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 Savannah Rosamond's NPI number?

The NPI number for Savannah Rosamond is 1265201230. It was assigned to this individual provider in the NPPES registry on January 1, 2024.

Where is Savannah Rosamond located?

Savannah Rosamond practices at 901 SE Plaza Ave Ste 5, Bentonville, AR 72712. The listed phone number is (479) 273-3376.

What is Savannah Rosamond's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Savannah Rosamond enrolled in Medicare?

Yes. Savannah Rosamond is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Savannah Rosamond's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Savannah Rosamond reassigns Medicare benefits to Premier Dermatology Services PLLC (Bentonville, 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 Savannah Rosamond's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Savannah Rosamond accept?

Health plans from Health Advantage and Octave list Savannah Rosamond 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 Savannah Rosamond was last updated on July 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.