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SHAZHOU LUO A.N.P
NPI 1407136617
Nurse Practitioner in Bentonville, AR

Active since August 18, 2011PECOS EnrolledAccepts Medicare Assignment
901 SE PLAZA AVE STE 5, BENTONVILLE, AR 72712(479) 273-3376(479) 273-3468 Get Directions Write a Review

NPPES record last updated: June 29, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 21, 2022, Sep 19, 2017, Feb 4, 2016 (3 updates tracked since 2016).

About Shazhou Luo A.n.p NPPES

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

SHAZHOU LUO A.N.P (NPI 1407136617) is an individual nurse practitioner in Bentonville, Arkansas, licensed in Arkansas (237879) and active in the NPI registry since August 2011. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1407136617
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameSHAZHOU LUOCredential: A.N.P
Location Address901 SE PLAZA AVE STE 5Bentonville, AR 72712-5473
Mailing Address901 Se Plaza Ave Ste 5Bentonville, AR 72712-5473 · (479) 273-3376 · Fax (479) 273-3468
Phone(479) 273-3376
Fax(479) 273-3468
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateAugust 18, 2011
Last NPPES UpdateJune 29, 20263 updates tracked since enumeration
NPPES CertifiedJune 29, 2026
✔ NPI 1407136617 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in AR · 237879
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
901 SE PLAZA AVE STE 5, Bentonville, AR 72712
Open in Google Maps ↗

Secondary Practice Locations 2

Location 15691 Gateway Ave, Suite DSpringdale, AR 72762 · Phone (479) 273-3376 · Fax (479) 273-3468
Location 21702 SE 8th St Ste 10Bentonville, AR 72712-2891 · Phone (479) 273-3376

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shazhou Luo A.n.p is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9537336953
PECOS Enrollment IDI20120125000275
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 Reassignments

2

Medicare enrollment records show Shazhou Luo reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Healthcare Partners Affiliates Medical Group
1,348 mi
Addiction Medicine
14591 NEWPORT AVE
Tustin, CA 92780
  • Reassigned Medicare billing, California enrollment
  • 2,052 clinicians in this Medicare group
NPI 1891981502 (714) 442-4864
California Wound Healing Medical Group Inc.
1,361 mi
Surgical
100 E HUNTINGTON DR STE 209
Alhambra, CA 91801
  • Reassigned Medicare billing, California enrollment
  • 50 clinicians in this Medicare group
NPI 1235333972 (323) 264-7796

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
133 services37 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
69 services58 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
47 services44 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
20 services17 patients

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 11

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

PREMIER DERMATOLOGY SERVICES PLLC
Dermatology
901 SE PLAZA AVE STE 5
BENTONVILLE, AR 72712
Benton County (479) 273-3376
JENNY AMANDA SIMMONS M.S., PA-C
Physician Assistant
901 SE PLAZA AVE STE 5
BENTONVILLE, AR 72712
Benton County (479) 273-3376
KARA JO RICHARDSON P.A.
Physician Assistant
901 SE PLAZA AVE STE 5
BENTONVILLE, AR 72712
Benton County (479) 273-3376
MRS. SAVANNAH MAENSIVU ROSAMOND
Nurse Practitioner (Family)
901 SE PLAZA AVE STE 5
BENTONVILLE, AR 72712
Benton County (479) 273-3376
CHERI CAROLINE CUNNINGHAM M.D
Dermatology
901 SE PLAZA AVE STE 5
BENTONVILLE, AR 72712
Benton County (479) 273-3376
ALEXANDRA N HUETT PA
Physician Assistant
901 SE PLAZA AVE STE 5
BENTONVILLE, AR 72712
Benton County (479) 273-3376
MR. LEE WALTER THOMAS PA-C
Physician Assistant
901 SE PLAZA AVE STE 5
BENTONVILLE, AR 72712
Benton County (479) 273-3376
MIMI HENDERSON HILL PA-C
Physician Assistant (Medical)
901 SE PLAZA AVE STE 5
BENTONVILLE, AR 72712
Benton County (479) 273-3376

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 Shazhou Luo's NPI number?

The NPI number for Shazhou Luo is 1407136617. It was assigned to this individual provider in the NPPES registry on August 18, 2011.

Where is Shazhou Luo located?

Shazhou Luo practices at 901 SE Plaza Ave Ste 5, Bentonville, AR 72712. The listed phone number is (479) 273-3376.

What is Shazhou Luo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Shazhou Luo enrolled in Medicare?

Yes. Shazhou Luo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Shazhou Luo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shazhou Luo reassigns Medicare benefits to 2 organizations: Healthcare Partners Affiliates Medical Group (Tustin, CA) and California Wound Healing Medical Group Inc. (Alhambra, CA). Each 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 Shazhou Luo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shazhou Luo 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 3 other insurers list Shazhou Luo 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 Shazhou Luo was last updated on June 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.