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NECOLE L HUGHES FNP
NPI 1265814529
Nurse Practitioner - Family in Walnut Ridge, AR

Active since June 23, 2015PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1309 W MAIN ST, WALNUT RIDGE, AR 72476(870) 886-3211(870) 886-3616 Get Directions Write a Review

NPPES record last updated: March 9, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Necole L Hughes Fnp NPPES

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

NECOLE L HUGHES FNP (NPI 1265814529) is an individual family provider in Walnut Ridge, Arkansas, licensed in Arkansas (A004389) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1265814529
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameNECOLE L HUGHESCredential: FNP
Location Address1309 W MAIN STWalnut Ridge, AR 72476-1430
Mailing AddressPo Box 839Walnut Ridge, AR 72476-0839 · (870) 886-3211 · Fax (870) 886-3616
Phone(870) 886-3211
Fax(870) 886-3616
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJune 23, 2015
Last NPPES UpdateMarch 9, 2026
NPPES CertifiedMarch 9, 2026
✔ NPI 1265814529 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 · A004389✔ Licensed in MO · 2015019126
Also ListedRegistered NurseTaxonomy 163W00000X · License R085432 (AR)
1309 W MAIN ST, Walnut Ridge, AR 72476
Open in Google Maps ↗

Other Names 1

Former Name (1)Necole L Dillard

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Necole L Hughes Fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2264745801
PECOS Enrollment IDI20151130000651
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 Reassignments

6

Medicare enrollment records show Necole Hughes reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lawrence Memorial Health Foundation Inc.
Same address
Critical Access
1309 W MAIN ST
Walnut Ridge, AR 72476
  • Reassigned Medicare billing, Arkansas enrollment
  • Also billed through NPI 1962626770 (Arkansas), NPI 1528052107 (Arkansas)
  • 14 clinicians in this Medicare group
NPI 1194724658 (870) 886-1200
Nea Reliant Health Care Professionals Inc
17 mi
Family
9146 HIGHWAY 63 N
Bono, AR 72416
  • Reassigned Medicare billing, Arkansas enrollment
  • 13 clinicians in this Medicare group
NPI 1467829804 (870) 930-9990
Prestige Care, PLLC
22 mi
Family Medicine
411 W WASHINGTON AVE STE B
Jonesboro, AR 72401
  • Reassigned Medicare billing, Arkansas enrollment
  • 4 clinicians in this Medicare group
NPI 1346032208 (870) 275-4272
St Bernards Hospital Inc
22 mi
General Acute Care Hospital
225 E WASHINGTON AVE
Jonesboro, AR 72401
  • Reassigned Medicare billing, Arkansas enrollment
  • Also billed through NPI 1396053096 (Arkansas)
  • 116 clinicians in this Medicare group
NPI 1336150374 (870) 972-4100
Fast Pace Mississippi, PLLC
99 mi
Urgent Care
32 S. BROADWAY STREET
Greenbriar, AR 72058
  • Reassigned Medicare billing, Arkansas enrollment
  • 55 clinicians in this Medicare group
NPI 1982361259 (931) 253-1110
Upperline Healthcare, PC
301 mi
Foot & Ankle Surgery
2116 CHAPEL HILL RD
Hoover, AL 35216
  • Reassigned Medicare billing, Arkansas enrollment
  • 55 clinicians in this Medicare group
NPI 1538686498 (407) 219-5402

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
81 services39 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
30 services26 patients
Face-to-face behavioral counseling for obesity, 15 minutes G0447
This is a 15-minute consultation where a healthcare professional discusses your eating habits, physical activity, and goals to help manage your weight. The aim is to provide personalized strategies to promote a healthier lifestyle and combat obesity.
30 services18 patients
Blood test, thyroid stimulating hormone (tsh) 84443
A TSH blood test measures the level of thyroid stimulating hormone in your body. This hormone is produced by the pituitary gland and regulates how your thyroid works. It's a simple procedure where a small amount of blood is drawn from your arm for analysis.
28 services23 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
28 services24 patients
Lipase (fat enzyme) level 83690
A Lipase Level test measures the amount of lipase in your blood. Lipase is an enzyme that helps your body digest fats. High or low levels can indicate problems with your pancreas, such as pancreatitis or other conditions. This test helps your doctor diagnose and monitor these conditions.
20 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72476 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost88.2

Other Providers at the Same Location NPPES 20

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

SHANNON SWIFT COOPER M.D.
Internal Medicine
1309 W MAIN ST
WALNUT RIDGE, AR 72476
Lawrence County (870) 886-3211
KEVIN M DIAMOND M.D.
Family Medicine
1309 W MAIN ST
WALNUT RIDGE, AR 72476
Lawrence County (870) 886-1200
VICKEY LYNNE SNOW APRN
Family Medicine
1309 W MAIN ST
WALNUT RIDGE, AR 72476
Lawrence County (870) 886-3211
MRS. SANDRA L HOWARD FNP
Family Medicine
1309 W MAIN ST
WALNUT RIDGE, AR 72476
Lawrence County (870) 886-3211
REBECCA LYNN OSBORNE MD
Internal Medicine
1309 W MAIN ST
WALNUT RIDGE, AR 72476
Lawrence County (870) 886-3211
LAWRENCE MEMORIAL HEALTH FOUNDATION INC.
General Acute Care Hospital (Critical Access)
1309 W MAIN ST
WALNUT RIDGE, AR 72476
Lawrence County (870) 886-1200
ELIZABETH FIKE DO
Family Medicine
1309 W MAIN ST
WALNUT RIDGE, AR 72476
Lawrence County (870) 886-1200
LAWRENCE MEMORIAL HOSPITAL
General Acute Care Hospital (Critical Access)
1309 W MAIN ST
WALNUT RIDGE, AR 72476
Lawrence County (870) 886-1200

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 Necole Hughes's NPI number?

The NPI number for Necole Hughes is 1265814529. It was assigned to this individual provider in the NPPES registry on June 23, 2015. The provider is also known as Necole L Dillard.

Where is Necole Hughes located?

Necole Hughes practices at 1309 W Main St, Walnut Ridge, AR 72476. The listed phone number is (870) 886-3211.

What is Necole Hughes's specialty?

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

Is Necole Hughes enrolled in Medicare?

Yes. Necole Hughes is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Necole Hughes's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Necole Hughes reassigns Medicare benefits to 6 organizations: Lawrence Memorial Health Foundation Inc. (Walnut Ridge, AR), Nea Reliant Health Care Professionals Inc (Bono, AR), Prestige Care, PLLC (Jonesboro, AR), St Bernards Hospital Inc (Jonesboro, AR), Fast Pace Mississippi, PLLC (Greenbriar, AR) and 1 more organization, listed in the Medicare section above. Each 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 Necole Hughes's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Necole Hughes 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 3 other insurers list Necole Hughes 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 Necole Hughes was last updated on March 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.