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DR. HOLLI BETH BAGWELL D.O.
NPI 1639346240
Pediatrics - Pediatric Emergency Medicine in Springdale, AR

Active since May 13, 2008PECOS Enrolled
2601 GENE GEORGE BLVD, SPRINGDALE, AR 72762(479) 725-6977(479) 725-6577 Get Directions Write a Review

NPPES record last updated: November 22, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 22, 2024, Jan 7, 2019, Jun 21, 2018 and 2 more (5 updates tracked since 2018).

About Dr. Holli Beth Bagwell D.o. NPPES

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

DR. HOLLI BETH BAGWELL D.O. (NPI 1639346240) is an individual pediatric emergency medicine provider in Springdale, Arkansas, licensed in Arkansas (E-7049) and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639346240
Entity TypeIndividualFemale
Primary Taxonomy2080P0204X
Provider Legal NameDR. HOLLI BETH BAGWELLCredential: D.O.
Location Address2601 GENE GEORGE BLVDSpringdale, AR 72762
Mailing Address1 Childrens Way # 844Little Rock, AR 72202-3500 · (501) 364-2090 · Fax (501) 364-3929
Phone(479) 725-6977
Fax(479) 725-6577
Sole ProprietorNo
Enumeration DateMay 13, 2008
Last NPPES UpdateNovember 22, 20245 updates tracked since enumeration
NPPES CertifiedNovember 22, 2024
✔ NPI 1639346240 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0204X
Licenses✔ Licensed in AR · E-7049✔ Licensed in MO · 2014025044
Definition
A pediatrician who has special qualifications to manage emergencies in infants and children.
2601 GENE GEORGE BLVD, Springdale, AR 72762
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Other Identifiers 3

Medicaid200701360AOK
Medicaid230539003AR
Medicaid200016157MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Arkansas Blue Cross and Blue Shield, Health Advantage, Octave.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Holli Beth Bagwell D.o. 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.

Medicare Billing Reassignment

Medicare enrollment records show Holli Bagwell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Arkansas Children's Medical Group PLLC
148 mi
Pediatrics
1 CHILDRENS WAY # 844
Little Rock, AR 72202
  • Reassigned Medicare billing, Arkansas enrollment
  • Medicare enrollment name: Arkansas Childrens Medical Group PLLC
  • 36 clinicians in this Medicare group
NPI 1396274841 (501) 364-2090

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

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

DR. ROBERT CATON BAKER MD
Anesthesiology (Pediatric Anesthesiology)
2601 GENE GEORGE BLVD
SPRINGDALE, AR 72762
Washington County (479) 725-6800
ABIGAIL STOVER MS, RD, LD
Dietitian, Registered
2601 GENE GEORGE BLVD
SPRINGDALE, AR 72762
Washington County (479) 725-6909
JEFFREY DALE GRILLS MD
Pediatrics
2601 GENE GEORGE BLVD
SPRINGDALE, AR 72762
Washington County (479) 725-6977
DR. KELLY DAWN MATTIX MD
Surgery (Pediatric Surgery)
2601 GENE GEORGE BLVD
SPRINGDALE, AR 72762
Washington County (479) 725-6800
MARY CATHERINE HOWELL AUD
Audiologist
2601 GENE GEORGE BLVD
SPRINGDALE, AR 72762
Washington County (479) 725-6904
DR. BRYCE ALSTON VANCE D.O.
Pediatrics (Adolescent Medicine)
2601 GENE GEORGE BLVD
SPRINGDALE, AR 72762
Washington County (479) 309-5391
CASIE MARIE JAMES MD
Pediatrics
2601 GENE GEORGE BLVD
SPRINGDALE, AR 72762
Washington County (479) 725-6866
DR. SARAH MORRIS WESTON M.D.
Pediatrics (Pediatric Emergency Medicine)
2601 GENE GEORGE BLVD
SPRINGDALE, AR 72762
Washington County (479) 725-6977

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 Holli Bagwell's NPI number?

The NPI number for Holli Bagwell is 1639346240. It was assigned to this individual provider in the NPPES registry on May 13, 2008.

Where is Holli Bagwell located?

Holli Bagwell practices at 2601 Gene George Blvd, Springdale, AR 72762. The listed phone number is (479) 725-6977.

What is Holli Bagwell's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Is Holli Bagwell enrolled in Medicare?

Yes. Holli Bagwell is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Holli Bagwell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Holli Bagwell reassigns Medicare benefits to Arkansas Children's Medical Group PLLC (Little Rock, AR). The 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 Holli Bagwell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Holli Bagwell accept?

Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage and Octave list Holli Bagwell 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 Holli Bagwell was last updated on November 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.