SPA CITY VASCULAR AND WELLNESS PLLC
NPI 1609663293
Nurse Practitioner in Hot Springs, AR

Active since April 24, 2025
3620 CENTRAL AVE STE E, HOT SPRINGS, AR 71913(501) 438-0111 Get Directions Write a Review

NPPES record last updated: April 24, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Spa City Vascular And Wellness Pllc NPPES

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

SPA CITY VASCULAR AND WELLNESS PLLC (NPI 1609663293) is a healthcare organization registered as a nurse practitioner in Hot Springs, Arkansas and active in the NPI registry since April 2025. The organization lists Sarah Reyna, Aprn Owner, as its authorized official.

NPPES Registry Identity

NPI1609663293
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameSPA CITY VASCULAR AND WELLNESS PLLC
Location Address3620 CENTRAL AVE STE EHot Springs, AR 71913-6090
Mailing Address1067 Seminole RdBismarck, AR 71929-6016 · (501) 229-4942
Organization SubpartNo
Authorized OfficialSarah ReynaAprn Owner · (501) 438-0111
Enumeration DateApril 24, 2025
NPPES CertifiedApril 24, 2025
✔ NPI 1609663293 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
3620 CENTRAL AVE STE E, Hot Springs, AR 71913

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)

Spa City Vascular And Wellness Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Spa City Vascular And Wellness PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1376999607
3620 CENTRAL AVE STE E
Hot Springs, AR 71913
(501) 438-0111
✔ 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.

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 Spa City Vascular And Wellness PLLC's NPI number?

The NPI number for Spa City Vascular And Wellness PLLC is 1609663293. It was assigned to this organization in the NPPES registry on April 24, 2025.

Where is Spa City Vascular And Wellness PLLC located?

Spa City Vascular And Wellness PLLC is located at 3620 Central Ave Ste E, Hot Springs, AR 71913. The listed phone number is (501) 438-0111.

What is Spa City Vascular And Wellness PLLC's specialty?

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

Is Spa City Vascular And Wellness PLLC enrolled in Medicare?

Yes. Spa City Vascular And Wellness PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Spa City Vascular And Wellness PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Spa City Vascular And Wellness 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Spa City Vascular And Wellness PLLC was last updated on April 24, 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.