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WOMEN'S SPECIALTY GROUP, PLLC
NPI 1508626359
Obstetrics & Gynecology in Bentonville, AR

Active since March 20, 2024CLIA 04D2309061 · Waiver
2900 MEDICAL CENTER PKWY STE 380, BENTONVILLE, AR 72712(479) 553-3340(479) 553-1964 Get Directions Write a Review

NPPES record last updated: March 20, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Women's Specialty Group, Pllc NPPES

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

WOMEN'S SPECIALTY GROUP, PLLC (NPI 1508626359) is a healthcare organization registered as an obstetrics & gynecology in Bentonville, Arkansas and active in the NPI registry since March 2024. The organization holds a CLIA Waiver certificate valid through August 7, 2028 and lists Misti Mccoy, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1508626359
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameWOMEN'S SPECIALTY GROUP, PLLC
Location Address2900 MEDICAL CENTER PKWY STE 380Bentonville, AR 72712-3214
Mailing Address2900 Medical Center Pkwy Ste 380Bentonville, AR 72712-3214 · (479) 553-3340 · Fax (479) 553-1964
Phone(479) 553-3340
Fax(479) 553-1964
Organization SubpartNo
Authorized OfficialMisti MccoyOffice Manager · (479) 553-3340
Enumeration DateMarch 20, 2024
NPPES CertifiedMarch 20, 2024
✔ NPI 1508626359 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
2900 MEDICAL CENTER PKWY STE 380, Bentonville, AR 72712
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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)

Women's Specialty Group, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Women's Specialty Group, PLLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Erika Frederking
Nurse Practitioner
NPI 1861185399
2900 MEDICAL CENTER PKWY STE 380
Bentonville, AR 72712
(757) 218-6367
✔ PECOS✔ Accepts MedicareSame address
Katie Beal, MD
Obstetrics/Gynecology
NPI 1558709469
2900 MEDICAL CENTER PKWY STE 240A
Bentonville, AR 72712
(479) 553-3340
✔ PECOS✔ Accepts MedicareSame address
Amy Fry, M.D.
Obstetrics/Gynecology
NPI 1821170481
2900 MEDICAL CENTER PKWY STE 240A
Bentonville, AR 72712
(795) 533-3340
✔ PECOS✔ Accepts MedicareSame address

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 04D2309061

Women's Specialty Group, PLLC · Bentonville, AR
Active · expires Aug 7, 2028
CLIA Number04D2309061
Laboratory TypePhysician Office
Certificate Effective DateAugust 8, 2026
Certificate Expiration DateAugust 7, 2028
Laboratory DirectorDr. Katie E. Beal
Laboratory Phone(479) 553-3340
Laboratory LocationWomen's Specialty Group, PLLC2900 Medical Center Pkwy, Suite 380, Bentonville, AR 72712
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Women's Specialty Group, PLLC's NPI number?

The NPI number for Women's Specialty Group, PLLC is 1508626359. It was assigned to this organization in the NPPES registry on March 20, 2024.

Where is Women's Specialty Group, PLLC located?

Women's Specialty Group, PLLC is located at 2900 Medical Center Pkwy Ste 380, Bentonville, AR 72712. The listed phone number is (479) 553-3340.

What is Women's Specialty Group, PLLC's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Women's Specialty Group, PLLC enrolled in Medicare?

Yes. Women's Specialty Group, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Women's Specialty Group, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Women's Specialty Group, PLLC, in Nurse Practitioner and Obstetrics/Gynecology. 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, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Women's Specialty Group, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D2309061) is associated with this NPI, valid through August 7, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Women's Specialty Group, PLLC was last updated on March 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.