BLUE SAGE WELLNESS PLLC
NPI 1679281877
Clinic/Center - Mental Health (Including Community Mental Health Center) in Fayetteville, AR

Active since November 07, 2022
2863 N OLD MISSOURI RD STE 108D, FAYETTEVILLE, AR 72703(479) 388-0332(479) 239-8440 Get Directions Write a Review

NPPES record last updated: March 18, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 18, 2025, Nov 7, 2022 (2 updates tracked since 2022).

About Blue Sage Wellness Pllc NPPES

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

BLUE SAGE WELLNESS PLLC (NPI 1679281877) is a healthcare organization registered as a mental health (including community mental health center) in Fayetteville, Arkansas and active in the NPI registry since November 2022. The organization lists Alyssa Flynn, Owner/manager, as its authorized official.

NPPES Registry Identity

NPI1679281877
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameBLUE SAGE WELLNESS PLLC
Location Address2863 N OLD MISSOURI RD STE 108DFayetteville, AR 72703-3777
Mailing Address949 S Eastview DrFayetteville, AR 72701-7442
Fax(479) 239-8440
Organization SubpartNo
Authorized OfficialAlyssa FlynnOwner/manager · (870) 784-1378
Enumeration DateNovember 7, 2022
Last NPPES UpdateMarch 18, 20252 updates tracked since enumeration
NPPES CertifiedMarch 18, 2025
✔ NPI 1679281877 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
2863 N OLD MISSOURI RD STE 108D, Fayetteville, AR 72703

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Blue Sage 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 Blue Sage Wellness PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Mental Health Counselor
NPI 1942927355
2863 N OLD MISSOURI RD STE 108D
Fayetteville, AR 72703
(479) 388-0332
✔ 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 Blue Sage Wellness PLLC's NPI number?

The NPI number for Blue Sage Wellness PLLC is 1679281877. It was assigned to this organization in the NPPES registry on November 7, 2022.

Where is Blue Sage Wellness PLLC located?

Blue Sage Wellness PLLC is located at 2863 N Old Missouri Rd Ste 108D, Fayetteville, AR 72703. The listed phone number is (479) 388-0332.

What is Blue Sage Wellness PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Is Blue Sage Wellness PLLC enrolled in Medicare?

Yes. Blue Sage Wellness PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Blue Sage Wellness PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Blue Sage 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 Blue Sage Wellness PLLC was last updated on March 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.