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ANNA MCCREDY
NPI 1619721909
Physician Assistant in Fayetteville, AR

Active since April 15, 2024PECOS Enrolled
1695 E RAINFOREST RD, FAYETTEVILLE, AR 72703(479) 445-6460 Get Directions Write a Review

NPPES record last updated: August 20, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Record update history: Aug 20, 2026, Apr 15, 2024 (2 updates tracked since 2024).

About Anna Mccredy NPPES

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

ANNA MCCREDY (NPI 1619721909) is an individual physician assistant in Fayetteville, Arkansas, licensed in Arkansas (PA-1515) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619721909
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameANNA MCCREDY
Location Address1695 E RAINFOREST RDFayetteville, AR 72703-5385
Mailing AddressPo Box 279Goshen, AR 72735-0279
Phone(479) 445-6460
Sole ProprietorNo
Enumeration DateApril 15, 2024
Last NPPES UpdateAugust 20, 20262 updates tracked since enumeration
NPPES CertifiedAugust 20, 2026
✔ NPI 1619721909 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in AR · PA-1515
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1695 E RAINFOREST RD, Fayetteville, AR 72703
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Anna Mccredy 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
$64.56 typical visit price
range $16.16 – $128.77
Typical copayment $16.14 (range $4.04 – $32.19)
Most-billed visit code 99213
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 7

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

MEGAN ELIZABETH TAYLOR APRN
Nurse Practitioner (Family)
1695 E RAINFOREST RD
FAYETTEVILLE, AR 72703
Washington County (479) 445-6460
ROLLER WEIGHT LOSS INSTITUTE,INC.
Specialist
1695 E RAINFOREST RD
FAYETTEVILLE, AR 72703
Washington County (479) 445-6460
YONG S KWON M.D.
Surgery
1695 E RAINFOREST RD
FAYETTEVILLE, AR 72703
Washington County (479) 445-6460
DR. KAITLYN MARIE PAINE MD
Plastic Surgery
1695 E RAINFOREST RD
FAYETTEVILLE, AR 72703
Washington County (479) 445-6460
MEGAN GROVE PA-C
Physician Assistant (Surgical)
1695 E RAINFOREST RD
FAYETTEVILLE, AR 72703
Washington County (479) 445-6460
REBEKAH SANCHEZ PA
Physician Assistant
1695 E RAINFOREST RD
FAYETTEVILLE, AR 72703
Washington County (479) 445-6460
KACY V. ENLOE PA-C
Physician Assistant
1695 E RAINFOREST RD
FAYETTEVILLE, AR 72703
Washington County (479) 445-6460

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 Anna Mccredy's NPI number?

The NPI number for Anna Mccredy is 1619721909. It was assigned to this individual provider in the NPPES registry on April 15, 2024.

Where is Anna Mccredy located?

Anna Mccredy practices at 1695 E Rainforest Rd, Fayetteville, AR 72703. The listed phone number is (479) 445-6460.

What is Anna Mccredy's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Anna Mccredy enrolled in Medicare?

Yes. Anna Mccredy is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Anna Mccredy was last updated on August 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 60 days 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.