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MARK ELIAS FORTENBERRY M.S., CCC-A
NPI 1487824900
Audiologist in Little Rock, AR

Active since March 12, 2008
10201 KANIS RD, LITTLE ROCK, AR 72205(501) 227-3800(501) 907-9750 Get Directions Write a Review

NPPES record last updated: October 21, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mark Elias Fortenberry M.s., Ccc-a NPPES

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

MARK ELIAS FORTENBERRY M.S., CCC-A (NPI 1487824900) is an individual audiologist in Little Rock, Arkansas, licensed in Arkansas (282) and active in the NPI registry since March 2008.

NPPES Registry Identity

NPI1487824900
Entity TypeIndividualMale
Primary Taxonomy231H00000X
Provider Legal NameMARK ELIAS FORTENBERRYCredential: M.S., CCC-A
Location Address10201 KANIS RDLittle Rock, AR 72205-6203
Mailing Address10201 Kanis RdLittle Rock, AR 72205-6203 · (501) 227-3800 · Fax (501) 907-9750
Phone(501) 227-3800
Fax(501) 907-9750
Sole ProprietorNo
Enumeration DateMarch 12, 2008
Last NPPES UpdateOctober 21, 2008
✔ NPI 1487824900 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAudiologistSpeech, Language and Hearing Service Providers
Taxonomy Code231H00000X
License✔ Licensed in AR · 282
Definition
(1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master's degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy.
10201 KANIS RD, Little Rock, AR 72205
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Other Identifiers 2

Medicare PIN5A934AR
Medicaid1487824900AR

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mark Elias Fortenberry M.s., Ccc-a is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Mark Fortenberry reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Arkansas Otolaryngology Center, P.A.
Same address
Otolaryngology
10201 KANIS RD
Little Rock, AR 72205
  • Reassigned Medicare billing, Arkansas enrollment
  • Medicare enrollment name: Arkansas Otolaryngology Center PA
  • 38 clinicians in this Medicare group
NPI 1164449500 (501) 227-5050

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

Other Providers at the Same Location NPPES 20

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

DR. ASHLEA WYRICK AU.D.
Audiologist
10201 KANIS RD
LITTLE ROCK, AR 72205
Pulaski County (501) 227-3800
CHRYSTAL LAU-STONE MD
Otolaryngology
10201 KANIS RD
LITTLE ROCK, AR 72205
Pulaski County (501) 227-5050
DR. MATTHEW BRYSON HOWARD AU.D.
Audiologist
10201 KANIS RD
LITTLE ROCK, AR 72205
Pulaski County (501) 227-3800
DR. JOHN R. E. DICKINS MD
Otolaryngology (Otology & Neurotology)
10201 KANIS RD
LITTLE ROCK, AR 72205
Pulaski County (501) 227-5050
ARKANSAS OTOLARYNGOLOGY CENTER, P.A.
Clinic/Center (Ambulatory Surgical)
10201 KANIS RD
LITTLE ROCK, AR 72205
Pulaski County (501) 227-5050
MRS. CHELSEA K BURROWS PT
Physical Therapist
10201 KANIS RD
LITTLE ROCK, AR 72205
Pulaski County (501) 227-5050
KYRSEE DURAN-MOELTER AUD
Audiologist
10201 KANIS RD
LITTLE ROCK, AR 72205
Pulaski County (501) 227-3800
ARKANSAS OTOLARYNGOLOGY CENTER, P.A.
Otolaryngology
10201 KANIS RD
LITTLE ROCK, AR 72205
Pulaski County (501) 227-5050

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 Mark Fortenberry's NPI number?

The NPI number for Mark Fortenberry is 1487824900. It was assigned to this individual provider in the NPPES registry on March 12, 2008.

Where is Mark Fortenberry located?

Mark Fortenberry practices at 10201 Kanis Rd, Little Rock, AR 72205. The listed phone number is (501) 227-3800.

What is Mark Fortenberry's specialty?

The primary specialty registered for this NPI is Audiologist with taxonomy code 231H00000X.

Is Mark Fortenberry enrolled in Medicare?

Yes. Mark Fortenberry is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mark Fortenberry's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Fortenberry reassigns Medicare benefits to Arkansas Otolaryngology Center, P.A. (Little Rock, AR). The 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 Mark Fortenberry's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mark Fortenberry was last updated on October 21, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.