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NICHOLAS L GENTRY MD
NPI 1497953079
Emergency Medicine in Fayetteville, AR

Active since July 05, 2007PECOS Enrolled
1438 E AUGUSTINE LN STE 2, FAYETTEVILLE, AR 72703(479) 335-5777 Get Directions Write a Review

NPPES record last updated: February 10, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 10, 2025, Oct 8, 2024, Jul 12, 2021 and 1 more (4 updates tracked since 2015).

About Nicholas L Gentry Md NPPES

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

NICHOLAS L GENTRY MD (NPI 1497953079) is an individual emergency medicine provider in Fayetteville, Arkansas, licensed in Arkansas (E-9119) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS and maintains a secondary practice location in Fayetteville.

NPPES Registry Identity

NPI1497953079
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameNICHOLAS L GENTRYCredential: MD
Location Address1438 E AUGUSTINE LN STE 2Fayetteville, AR 72703-5462
Mailing Address1438 E Augustine Ln Ste 2Fayetteville, AR 72703-5462 · (479) 335-5777
Phone(479) 335-5777
Sole ProprietorNo
Enumeration DateJuly 5, 2007
Last NPPES UpdateFebruary 10, 20254 updates tracked since enumeration
NPPES CertifiedFebruary 10, 2025
✔ NPI 1497953079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in AR · E-9119✔ Licensed in VA · 0101245142
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1438 E AUGUSTINE LN STE 2, Fayetteville, AR 72703
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Secondary Practice Location 1

Location 11420 E Augustine Ln Ste 7Fayetteville, AR 72703-4995 · Phone (479) 305-8206

Other Identifiers 1

Other12518279Caqh

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicholas L Gentry Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72703 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

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

ALEXIS MIKAYLA CLARK PA-C
Physician Assistant
1438 E AUGUSTINE LN STE 2
FAYETTEVILLE, AR 72703
Washington County (479) 335-5777

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 Nicholas Gentry's NPI number?

The NPI number for Nicholas Gentry is 1497953079. It was assigned to this individual provider in the NPPES registry on July 5, 2007.

Where is Nicholas Gentry located?

Nicholas Gentry practices at 1438 E Augustine Ln Ste 2, Fayetteville, AR 72703. The listed phone number is (479) 335-5777.

What is Nicholas Gentry's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Nicholas Gentry enrolled in Medicare?

Yes. Nicholas Gentry is registered in the Medicare PECOS enrollment system.

What insurance does Nicholas Gentry accept?

Health plans from Anthem Blue Cross and Blue Shield list Nicholas Gentry 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 Nicholas Gentry was last updated on February 10, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.