HAILEE ELIZABETH RUTHERFORD FNP-C PLLC
NPI 1407664972
Family Medicine in Mena, AR
About Hailee Elizabeth Rutherford Fnp-c Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HAILEE ELIZABETH RUTHERFORD FNP-C PLLC (NPI 1407664972) is a healthcare organization registered as a family medicine in Mena, Arkansas and active in the NPI registry since December 2024. The organization holds a CLIA Waiver certificate valid through April 28, 2027 and lists Hailee Rutherford, 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)
Hailee Elizabeth Rutherford Fnp-c Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Hailee Elizabeth Rutherford Fnp-C PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
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 04D1026829
Hailee Elizabeth Rutherford Fnp-C, PLLC · Mena, 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 Hailee Elizabeth Rutherford Fnp-C PLLC's NPI number?
The NPI number for Hailee Elizabeth Rutherford Fnp-C PLLC is 1407664972. It was assigned to this organization in the NPPES registry on December 30, 2024.
Where is Hailee Elizabeth Rutherford Fnp-C PLLC located?
Hailee Elizabeth Rutherford Fnp-C PLLC is located at 1706 Highway 71 N, Mena, AR 71953. The listed phone number is (479) 394-1500.
What is Hailee Elizabeth Rutherford Fnp-C PLLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Hailee Elizabeth Rutherford Fnp-C PLLC enrolled in Medicare?
Yes. Hailee Elizabeth Rutherford Fnp-C PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Hailee Elizabeth Rutherford Fnp-C PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Hailee Elizabeth Rutherford Fnp-C PLLC, in Emergency Medicine and Nurse Practitioner. 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 and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Hailee Elizabeth Rutherford Fnp-C PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 04D1026829) is associated with this NPI, valid through April 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Hailee Elizabeth Rutherford Fnp-C PLLC was last updated on December 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.
# Hailee Elizabeth Rutherford Fnp-C Pllc · NPI 1407664972
Family Medicine organization in Mena, Arkansas. Organization record, active in the CMS NPPES registry since December 30, 2024.
## Identity
- **NPI:** 1407664972 (Entity type: Organization)
- **Enumerated:** December 30, 2024
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Hailee Rutherford, OWNER
## Practice location
- **Address:** 1706 HIGHWAY 71 N, Mena, AR 71953-8917
- **Phone:** (479) 394-1500
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (2), Emergency Medicine (1); 2 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 30, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1407664972) · Data from the CMS NPPES public registry.