CORE MED PLLC
NPI 1295590453
General Practice in Bentonville, AR
About Core Med Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CORE MED PLLC (NPI 1295590453) is a healthcare organization registered as a general practice in Bentonville, Arkansas and active in the NPI registry since February 2024. The organization lists Ryan Hasenclever, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Core Med Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Core Med PLLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
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 Core Med PLLC's NPI number?
The NPI number for Core Med PLLC is 1295590453. It was assigned to this organization in the NPPES registry on February 16, 2024.
Where is Core Med PLLC located?
Core Med PLLC is located at 902B S Walton Blvd Ste 18, Bentonville, AR 72712. The listed phone number is (479) 876-8628.
What is Core Med PLLC's specialty?
The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.
Is Core Med PLLC enrolled in Medicare?
Yes. Core Med PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Core Med PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Core Med PLLC, in Chiropractic 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, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Core Med PLLC was last updated on May 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Core Med Pllc · NPI 1295590453
General Practice organization in Bentonville, Arkansas. Organization record, active in the CMS NPPES registry since February 16, 2024.
## Identity
- **NPI:** 1295590453 (Entity type: Organization)
- **Enumerated:** February 16, 2024
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **Organization subpart:** No
- **Authorized official:** Ryan Hasenclever, OWNER
## Practice location
- **Address:** 902B S WALTON BLVD STE 18, Bentonville, AR 72712-5770
- **Phone:** (479) 876-8628 · **Fax:** (479) 876-8643
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Chiropractic (1), Nurse Practitioner (1); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 23, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1295590453) · Data from the CMS NPPES public registry.