PEA RIDGE URGENT CARE CLINIC
NPI 1558140749
Clinic/Center - Urgent Care in Pea Ridge, AR

Active since September 26, 2023CLIA 04D2300073 · Accreditation
2103 SLACK ST, PEA RIDGE, AR 72751(479) 765-1980 Get Directions Write a Review

NPPES record last updated: January 14, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Pea Ridge Urgent Care Clinic NPPES

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

PEA RIDGE URGENT CARE CLINIC (NPI 1558140749) is a healthcare organization registered as an urgent care in Pea Ridge, Arkansas and active in the NPI registry since September 2023. The organization holds an CLIA Accreditation certificate valid through November 25, 2026 and lists Alan Schumacher, Owner, as its authorized official.

NPPES Registry Identity

NPI1558140749
Entity TypeOrganization
Primary Taxonomy261QU0200X
Legal Business NamePEA RIDGE URGENT CARE CLINIC
Location Address2103 SLACK STPea Ridge, AR 72751-4005
Mailing Address660 Willis LnPea Ridge, AR 72751-3748 · (479) 765-1980
Organization SubpartNo
Authorized OfficialAlan SchumacherOwner · (520) 850-2886
Enumeration DateSeptember 26, 2023
Last NPPES UpdateJanuary 14, 2025
NPPES CertifiedDecember 19, 2024
✔ NPI 1558140749 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Urgent CareAmbulatory Health Care Facilities
Taxonomy Code261QU0200X
2103 SLACK ST, Pea Ridge, AR 72751

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pea Ridge Urgent Care Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

9

Medicare enrollment records show 9 clinicians reassign Medicare billing to Pea Ridge Urgent Care Clinic, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (9)

Nurse Practitioner
NPI 1962207589
2103 SLACK ST
Pea Ridge, AR 72751
(479) 765-1980
✔ PECOSSame address
Nurse Practitioner
NPI 1306602701
2103 SLACK ST
Pea Ridge, AR 72751
(765) 479-1980
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1568212520
14234 WOLF DR
Rogers, AR 72756
(479) 644-8484
✔ PECOS✔ Accepts Medicare7.5 mi
Nurse Practitioner
NPI 1659199503
2811 W HUNTSVILLE AVE STE 1016
Springdale, AR 72762
(479) 334-4657
✔ PECOS✔ Accepts Medicare18 mi
Nurse Practitioner
NPI 1477374973
3300 W SUNSET AVE
Springdale, AR 72762
(479) 717-7089
✔ PECOS✔ Accepts Medicare18 mi
Nurse Practitioner
NPI 1093483562
1100 N COLLEGE AVE
Fayetteville, AR 72703
(479) 443-4301
✔ PECOS25 mi
Family Practice
NPI 1366718553
1007 N POPE ST
Silver City, NM 88061
(575) 388-1511
✔ PECOS✔ Accepts Medicare843 mi
Nurse Practitioner
NPI 1265164636
2400 BROAD ST STE 1
Durham, NC 27704
(919) 220-9800
✔ PECOS✔ Accepts Medicare850 mi
Nurse Practitioner
NPI 1124567607
5 ORANGE GROVE SUITE # 2
Christiansted, VI 00820
(340) 715-7720
✔ PECOS✔ Accepts Medicare2,209 mi

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 Accreditation 04D2300073

Pea Ridge Urgent Care Clinic · Pea Ridge, AR
Active · expires Nov 25, 2026
CLIA Number04D2300073
Laboratory TypePhysician Office
Certificate Effective DateNovember 26, 2024
Certificate Expiration DateNovember 25, 2026
Laboratory DirectorDr. Alan Schumacher
Laboratory Phone(417) 379-8353
Laboratory LocationPea Ridge Urgent Care Clinic2103 Slack St, Pea Ridge, AR 72751
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

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 Pea Ridge Urgent Care Clinic's NPI number?

The NPI number for Pea Ridge Urgent Care Clinic is 1558140749. It was assigned to this organization in the NPPES registry on September 26, 2023.

Where is Pea Ridge Urgent Care Clinic located?

Pea Ridge Urgent Care Clinic is located at 2103 Slack St, Pea Ridge, AR 72751. The listed phone number is (479) 765-1980.

What is Pea Ridge Urgent Care Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.

Is Pea Ridge Urgent Care Clinic enrolled in Medicare?

Yes. Pea Ridge Urgent Care Clinic is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pea Ridge Urgent Care Clinic?

According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 2 Medicare specialties reassign their Medicare billing to Pea Ridge Urgent Care Clinic. 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. The largest specialties are Nurse Practitioner (8) and Family Practice (1). Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Pea Ridge Urgent Care Clinic hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 04D2300073) is associated with this NPI, valid through November 25, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Pea Ridge Urgent Care Clinic accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Pea Ridge Urgent Care Clinic 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 Pea Ridge Urgent Care Clinic was last updated on January 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.