CAROLYN NUTTER PA
NPI 1265469670
Physician Assistant in Springdale, AR

Active since June 28, 2006PECOS Enrolled
1607 S OLD MISSOURI RD, SPRINGDALE, AR 72764(479) 463-4887(479) 463-4886 Get Directions Write a Review

NPPES record last updated: March 28, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 28, 2016, Feb 26, 2016 (2 updates tracked since 2016).

About Carolyn Nutter Pa NPPES

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

CAROLYN NUTTER PA (NPI 1265469670) is an individual physician assistant in Springdale, Arkansas, licensed in Arkansas (PA117) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265469670
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameCAROLYN NUTTERCredential: PA
Location Address1607 S OLD MISSOURI RDSpringdale, AR 72764-5723
Mailing Address1607 S Old Missouri RdSpringdale, AR 72764-5723 · (479) 463-4887 · Fax (479) 463-4886
Fax(479) 463-4886
Sole ProprietorNo
Enumeration DateJune 28, 2006
Last NPPES UpdateMarch 28, 20162 updates tracked since enumeration
NPI 1265469670 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in AR · PA117
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1607 S OLD MISSOURI RD, Springdale, AR 72764

Other Identifiers 3

Medicare PIN5C072P225AR
Medicare PIN5M067P037AR
Medicare UPINS56752AR

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Carolyn Nutter Pa 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.

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
$64.56 typical visit price
range $16.16 – $128.77
Typical copayment $16.14 (range $4.04 – $32.19)
Most-billed visit code 99213
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 8

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

Family Medicine
1607 S OLD MISSOURI RD
SPRINGDALE, AR 72764
Family Medicine
1607 S OLD MISSOURI RD
SPRINGDALE, AR 72764
Counselor (Addiction (Substance Use Disorder))
1607 S OLD MISSOURI RD
SPRINGDALE, AR 72764
Clinic/Center (Methadone)
1607 S OLD MISSOURI RD
SPRINGDALE, AR 72764
Counselor (Addiction (Substance Use Disorder))
1607 S OLD MISSOURI RD
SPRINGDALE, AR 72764
Counselor (Addiction (Substance Use Disorder))
1607 S OLD MISSOURI RD
SPRINGDALE, AR 72764
Counselor (Addiction (Substance Use Disorder))
1607 S OLD MISSOURI RD
SPRINGDALE, AR 72764
Counselor (Addiction (Substance Use Disorder))
1607 S OLD MISSOURI RD
SPRINGDALE, AR 72764

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 Carolyn Nutter's NPI number?

The NPI number for Carolyn Nutter is 1265469670. It was assigned to this individual provider in the NPPES registry on June 28, 2006.

Where is Carolyn Nutter located?

Carolyn Nutter practices at 1607 S Old Missouri Rd, Springdale, AR 72764. The listed phone number is (479) 463-4887.

What is Carolyn Nutter's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Carolyn Nutter enrolled in Medicare?

Yes. Carolyn Nutter is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Carolyn Nutter was last updated on March 28, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.