BENTONVILLE AMBULATORY SURGERY CENTER, LLC
NPI 1427662345
Clinic/Center - Ambulatory Surgical in Bentonville, AR

Q: What is Bentonville Ambulatory Surgery Center, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Active since September 08, 2020CLIA 04D2193405 · Waiver

2902 MID CITIES DR, BENTONVILLE, AR 72712(844) 215-0731(888) 630-8885 Get Directions Write a Review

NPPES record last updated: February 16, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 16, 2022, May 3, 2021, Sep 10, 2020 (3 updates tracked since 2020).

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About Bentonville Ambulatory Surgery Center, Llc NPPES

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

BENTONVILLE AMBULATORY SURGERY CENTER, LLC (NPI 1427662345) is a healthcare organization registered as an ambulatory surgical in Bentonville, Arkansas and active in the NPI registry since September 2020. The organization holds a CLIA Waiver certificate valid through September 20, 2026 and lists Eilizabeth Ann Waddell, Asc Administrator, as its authorized official.

NPPES Registry Identity

NPI1427662345

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameBENTONVILLE AMBULATORY SURGERY CENTER, LLC

Location Address2902 MID CITIES DRBentonville, AR 72712-4020

Mailing Address108 N Shackleford RdLittle Rock, AR 72211-2840 · (507) 773-6993 · Fax (888) 630-8885

Phone(844) 215-0731

Fax(888) 630-8885

Organization SubpartNo

Authorized OfficialEilizabeth Ann WaddellAsc Administrator · (501) 766-1065

Enumeration DateSeptember 8, 2020

Last NPPES UpdateFebruary 16, 20223 updates tracked since enumeration

NPPES CertifiedFebruary 16, 2022

✔ NPI 1427662345 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

2902 MID CITIES DR, Bentonville, AR 72712

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Accepted Insurance

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

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 04D2193405

Bentonville Ambulatory Surgery Center · Bentonville, AR

Active · expires Sep 20, 2026

CLIA Number04D2193405

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateSeptember 21, 2024

Certificate Expiration DateSeptember 20, 2026

Laboratory DirectorMs. Ashley Lawhon

Laboratory Phone(501) 322-7993

Laboratory LocationBentonville Ambulatory Surgery Center2902 SE Mid-Cities Drive, Bentonville, AR 72712

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 3

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.

Injection of lower or sacral spine facet joint using imaging guidance, single level 64493

This procedure involves injecting medication into the facet joint in your lower back or sacral spine. It's done under imaging guidance to ensure accuracy. The aim is to alleviate pain and inflammation. It's a safe, often effective method for managing spinal discomfort.

38 services13 patients

Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint 64635

This procedure involves using imaging guidance to accurately target and destroy nerves in the lower or sacral spinal facet joint. It's done to relieve chronic back pain. The process is safe and usually effective.

26 services13 patients

Injection of substance into lower spine canal using imaging guidance 62323

This procedure involves injecting a substance into your lower spine canal, guided by real-time images. It's done to diagnose or treat various conditions. You may feel slight discomfort, but it's generally safe and can provide valuable information for your treatment plan.

16 services15 patients

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.

PAIN TREATMENT CENTERS OF AMERICA, PLLC

Durable Medical Equipment & Medical Supplies

2902 MID CITIES DR
BENTONVILLE, AR 72712

Benton County (501) 712-2571

MID-CITIES AMBULATORY SURGERY CENTER LLC

Clinic/Center (Ambulatory Surgical)

2902 MID CITIES DR
BENTONVILLE, AR 72712

Benton County (844) 215-0731

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 Bentonville Ambulatory Surgery Center, LLC's NPI number?

The NPI number for Bentonville Ambulatory Surgery Center, LLC is 1427662345. It was assigned to this organization in the NPPES registry on September 8, 2020.

Where is Bentonville Ambulatory Surgery Center, LLC located?

Bentonville Ambulatory Surgery Center, LLC is located at 2902 Mid Cities Dr, Bentonville, AR 72712. The listed phone number is (844) 215-0731.

What is Bentonville Ambulatory Surgery Center, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Bentonville Ambulatory Surgery Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D2193405) is associated with this NPI, valid through September 20, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Bentonville Ambulatory Surgery Center, LLC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 5 other insurers list Bentonville Ambulatory Surgery Center, LLC 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 Bentonville Ambulatory Surgery Center, LLC was last updated on February 16, 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.