DR. AUNNA CANNON HERBST D.O.
NPI 1407046220
Family Medicine in Bentonville, AR

Active since July 27, 2007Opted out of Medicare · through Aug 16, 2027
700 SE PLAZA AVE, BENTONVILLE, AR 72712(479) 715-4645(918) 579-5762 Get Directions Write a Review

NPPES record last updated: January 28, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 28, 2022, Jun 20, 2019, Nov 19, 2015 (3 updates tracked since 2015).

About Dr. Aunna Cannon Herbst D.o. NPPES

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

DR. AUNNA CANNON HERBST D.O. (NPI 1407046220) is an individual family medicine provider in Bentonville, Arkansas, licensed in Arkansas (E11897) and active in the NPI registry since July 2007. She has opted out of Medicare through August 16, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1407046220
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. AUNNA CANNON HERBSTCredential: D.O.
Location Address700 SE PLAZA AVEBentonville, AR 72712-3003
Mailing Address700 Se Plaza AveBentonville, AR 72712-3003 · (479) 715-4645 · Fax (918) 579-5762
Fax(918) 579-5762
Sole ProprietorNo
Enumeration DateJuly 27, 2007
Last NPPES UpdateJanuary 28, 20223 updates tracked since enumeration
NPPES CertifiedDecember 16, 2021
NPI 1407046220 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in AR · E11897 Licensed in OK · 4647
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
700 SE PLAZA AVE, Bentonville, AR 72712

Other Identifiers 4

Other200470610DOK · Osu-group
Medicaid200505990BOK
Medicaid200204840BOK
Other200204840AOK · Osu Adj

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Aunna Cannon Herbst D.o. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 16, 2019 through August 16, 2027.

Opt-Out Effective DateAugust 16, 2019
Opt-Out In Effect ThroughAugust 16, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72712 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 2

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

Dietitian, Registered
700 SE PLAZA AVE
BENTONVILLE, AR 72712
Health and Wellness Coach
700 SE PLAZA AVE
BENTONVILLE, AR 72712

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 Aunna Herbst's NPI number?

The NPI number for Aunna Herbst is 1407046220. It was assigned to this individual provider in the NPPES registry on July 27, 2007.

Where is Aunna Herbst located?

Aunna Herbst practices at 700 SE Plaza Ave, Bentonville, AR 72712. The listed phone number is (479) 715-4645.

What is Aunna Herbst's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Aunna Herbst enrolled in Medicare?

No. Aunna Herbst has opted out of Medicare through August 16, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Aunna Herbst was last updated on January 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.