IMAGE MEDICAL PLLC
NPI 1477341469
Nurse Practitioner in Fayetteville, AR

Active since April 29, 2025
388 E SUNBRIDGE DR, FAYETTEVILLE, AR 72703(479) 800-0011 Get Directions Write a Review

NPPES record last updated: April 29, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Image Medical Pllc NPPES

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

IMAGE MEDICAL PLLC (NPI 1477341469) is a healthcare organization registered as a nurse practitioner in Fayetteville, Arkansas and active in the NPI registry since April 2025. The organization lists Jennifer E Oxford, Owner, as its authorized official.

NPPES Registry Identity

NPI1477341469
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameIMAGE MEDICAL PLLC
Location Address388 E SUNBRIDGE DRFayetteville, AR 72703-1868
Mailing Address2629 N Sierra AveFayetteville, AR 72703-3370 · (479) 800-0011 · Fax (877) 693-6271
Organization SubpartNo
Authorized OfficialJennifer E OxfordOwner · (479) 236-2108
Enumeration DateApril 29, 2025
NPPES CertifiedApril 29, 2025
✔ NPI 1477341469 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
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.
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X
388 E SUNBRIDGE DR, Fayetteville, AR 72703

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Image Medical Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Image Medical PLLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Nurse Practitioner
NPI 1114300100
2629 N SIERRA AVE
Fayetteville, AR 72703
(479) 445-3469
✔ PECOS✔ Accepts Medicare0.2 mi
Nurse Practitioner
NPI 1376373761
11112 SHUMATE CROSSING RD
Farmington, AR 72730
(479) 856-9363
✔ PECOS✔ Accepts Medicare10 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 Image Medical PLLC's NPI number?

The NPI number for Image Medical PLLC is 1477341469. It was assigned to this organization in the NPPES registry on April 29, 2025.

Where is Image Medical PLLC located?

Image Medical PLLC is located at 388 E Sunbridge Dr, Fayetteville, AR 72703. The listed phone number is (479) 800-0011.

What is Image Medical PLLC's specialty?

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

Is Image Medical PLLC enrolled in Medicare?

Yes. Image Medical PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Image Medical PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Image Medical PLLC. 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, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Image Medical PLLC was last updated on April 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.