WASHINGTON REGIONAL PSYCHIATRIC CLINIC
NPI 1366408973
Psychiatry & Neurology - Geriatric Psychiatry in Fayetteville, AR

Active since April 22, 2006
3215 N NORTHHILLS BLVD, WASHINGTON REGIONAL PSYCHIATRIC CLINIC, FAYETTEVILLE, AR 72703(479) 463-2004(479) 463-7864 Get Directions Write a Review

NPPES record last updated: September 20, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Washington Regional Psychiatric Clinic NPPES

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

WASHINGTON REGIONAL PSYCHIATRIC CLINIC (NPI 1366408973) is a healthcare organization registered as a geriatric psychiatry in Fayetteville, Arkansas and active in the NPI registry since April 2006. The organization lists Dan Eckels, Vice President And Cfo, as its authorized official.

NPPES Registry Identity

NPI1366408973
Entity TypeOrganization
Primary Taxonomy2084P0805X
Legal Business NameWASHINGTON REGIONAL MEDICAL SYSTEM
Location Address3215 N NORTHHILLS BLVD, WASHINGTON REGIONAL PSYCHIATRIC CLINICFayetteville, AR 72703-4424
Mailing Address12 E Appleby, Clinic AdministrationFayetteville, AR 72703 · (479) 463-1704 · Fax (479) 463-7864
Fax(479) 463-7864
Organization SubpartNo
Authorized OfficialDan EckelsVice President And Cfo · (479) 463-6026
Enumeration DateApril 22, 2006
Last NPPES UpdateSeptember 20, 2010
✔ NPI 1366408973 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Geriatric PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0805X
Definition
Geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients.
3215 N NORTHHILLS BLVD, Fayetteville, AR 72703

Other Names 1

Doing Business AsWashington Regional Psychiatric Clinic

Other Identifiers 2

Medicaid148784002AR
Medicare ID-Type Unspecified5C734AR

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Washington Regional Psychiatric Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by October 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateArkansasEnrollment IDO20041019000920Non-DME Part B · Clinic/Group PracticeDue dateOctober 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Washington Regional Psychiatric Clinic, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (7)

Psychiatry
NPI 1942496005
102 E SUNBRIDGE DR SUITE 1
Fayetteville, AR 72703
(479) 790-4889
✔ PECOS0.8 mi
Psychiatry
NPI 1891740502
4700 S THOMPSON ST STE C103
Springdale, AR 72764
(479) 571-6363
✔ PECOS✔ Accepts Medicare2.4 mi
Psychiatry
NPI 1013970797
601 W MAPLE AVE STE 403
Springdale, AR 72764
(479) 750-2742
✔ PECOS✔ Accepts Medicare5.1 mi
Psychiatry
NPI 1285724856
4301 W MARKHAM ST # 783
Little Rock, AR 72205
(501) 686-8000
✔ PECOS✔ Accepts Medicare140 mi
Psychiatry
NPI 1801424510
4224 SHUFFIELD DR
Little Rock, AR 72205
(501) 526-8200
✔ PECOS140 mi
Psychiatry
NPI 1780685024
100 S RYAN ST
Lake Charles, LA 70601
(337) 478-9331
✔ PECOS✔ Accepts Medicare408 mi
Geriatric Psychiatry
NPI 1598145948
MEDICAL CENTER BLVD
Winston Salem, NC 27157
(336) 716-4551
✔ PECOS✔ Accepts Medicare776 mi

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 Washington Regional Medical System's NPI number?

The NPI number for Washington Regional Medical System is 1366408973. It was assigned to this organization in the NPPES registry on April 22, 2006. The provider is doing business as Washington Regional Psychiatric Clinic.

Where is Washington Regional Medical System located?

Washington Regional Medical System is located at 3215 N Northhills Blvd Washington Regional Psychiatric Clinic, Fayetteville, AR 72703. The listed phone number is (479) 463-2004.

What is Washington Regional Medical System's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Geriatric Psychiatry, with taxonomy code 2084P0805X.

Is Washington Regional Medical System enrolled in Medicare?

Yes. Washington Regional Medical System is registered in the Medicare PECOS enrollment system.

When is Washington Regional Medical System's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Arkansas, Clinic/Group Practice) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Washington Regional Medical System?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 2 Medicare specialties reassign their Medicare billing to Washington Regional Medical System. 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. The largest specialties are Psychiatry (6) and Geriatric Psychiatry (1). Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Washington Regional Medical System 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 1 other insurer list Washington Regional Medical System 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 Washington Regional Medical System was last updated on September 20, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.