MS. DONNA MATLOCK FNP
NPI 1295780690
Nurse Practitioner - Family in Rogers, AR

Q: What is Donna Matlock's NPI number?

The NPI number for Donna Matlock is 1295780690. It was assigned to this individual provider in the NPPES registry on May 23, 2006.

Q: What is Donna Matlock's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Donna Matlock was last updated on April 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since May 23, 2006PECOS Enrolled

2012 S PROMENADE BLVD, ROGERS, AR 72758(479) 616-1485(479) 239-0536 Get Directions Write a Review

NPPES record last updated: April 11, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 11, 2019, Dec 27, 2016 (2 updates tracked since 2016).

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About Ms. Donna Matlock Fnp NPPES

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

MS. DONNA MATLOCK FNP (NPI 1295780690) is an individual family provider in Rogers, Arkansas, licensed in Arkansas (AO1582) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Springdale.

NPPES Registry Identity

NPI1295780690

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMS. DONNA MATLOCKCredential: FNP

Location Address2012 S PROMENADE BLVDRogers, AR 72758

Mailing Address2012 S Promenade BlvdRogers, AR 72758-9073 · (479) 616-1485 · Fax (479) 239-0536

Phone(479) 616-1485

Fax(479) 239-0536

Sole ProprietorNo

Enumeration DateMay 23, 2006

Last NPPES UpdateApril 11, 20192 updates tracked since enumeration

✔ NPI 1295780690 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 · AO1582

2012 S PROMENADE BLVD, Rogers, AR 72758

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Secondary Practice Location 1

Location 13409 Elm Springs Rd.Springdale, AR 72762 · Phone (479) 927-2100 ext. 5251 · Fax (479) 927-2211

Other Identifiers 3

Medicaid148362758AR

OtherP00378001AR · Railroad Medicare

Medicaid426270807MO

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Donna Matlock Fnp 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.

Medicare Billing Reassignment

Medicare enrollment records show Donna Matlock reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Watkins Family Health & Counseling, Inc.

22 mi

Family

10345 W JETER RD
Fayetteville, AR 72701

Reassigned Medicare billing, Arkansas enrollment
6 clinicians in this Medicare group

NPI 1346789948 (479) 387-4200

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 72758 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 9

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

ERIN E SCHEFFER NP-C

Nurse Practitioner