ROOTED FAMILY CARE PLLC
NPI 1366277295
Family Medicine in Fayetteville, AR
About Rooted Family Care Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ROOTED FAMILY CARE PLLC (NPI 1366277295) is a healthcare organization registered as a family medicine in Fayetteville, Arkansas and active in the NPI registry since September 2024. The organization holds a CLIA Waiver certificate valid through October 7, 2028 and lists Bailee Lutz, 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)
Rooted Family Care 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 Rooted Family Care PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. 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.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 04D2312287
Rooted Family Care · Fayetteville, ARFrequently 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 Rooted Family Care PLLC's NPI number?
The NPI number for Rooted Family Care PLLC is 1366277295. It was assigned to this organization in the NPPES registry on September 2, 2024.
Where is Rooted Family Care PLLC located?
Rooted Family Care PLLC is located at 1708 E Joyce Blvd Ste 2, Fayetteville, AR 72703. The listed phone number is (479) 222-1144.
What is Rooted Family Care PLLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Rooted Family Care PLLC enrolled in Medicare?
Yes. Rooted Family Care PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Rooted Family Care PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Family Practice, reassign their Medicare billing to Rooted Family Care PLLC. 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 at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Rooted Family Care PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 04D2312287) is associated with this NPI, valid through October 7, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Rooted Family Care PLLC was last updated on October 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Rooted Family Care Pllc · NPI 1366277295
Family Medicine organization in Fayetteville, Arkansas. Organization record, active in the CMS NPPES registry since September 2, 2024.
## Identity
- **NPI:** 1366277295 (Entity type: Organization)
- **Enumerated:** September 2, 2024
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Bailee Lutz, OWNER
## Practice location
- **Address:** 1708 E JOYCE BLVD STE 2, Fayetteville, AR 72703-5250
- **Phone:** (479) 222-1144
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Family Practice) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 28, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1366277295) · Data from the CMS NPPES public registry.