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WALKER HEART INSTITUTE CARDIOVASCULAR CLINIC
NPI 1679890966
Internal Medicine - Interventional Cardiology in Fayetteville, AR

Active since April 26, 2010CLIA 04D2009846 · Waiver
3211 N NORTHHILLS BLVD, SUITE 110, FAYETTEVILLE, AR 72703(479) 571-4338(479) 571-4015 Get Directions Write a Review

NPPES record last updated: April 26, 2010. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Walker Heart Institute Cardiovascular Clinic NPPES

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

WALKER HEART INSTITUTE CARDIOVASCULAR CLINIC (NPI 1679890966) is a healthcare organization registered as an interventional cardiology in Fayetteville, Arkansas and active in the NPI registry since April 2010. The organization holds a CLIA Waiver certificate valid through July 14, 2028 and lists Daniel R Eckels, Senior Vp/cfo, as its authorized official.

NPPES Registry Identity

NPI1679890966
Entity TypeOrganization
Primary Taxonomy207RI0011X
Legal Business NameWASHINGTON REGIONAL MEDICAL SYSTEM
Location Address3211 N NORTHHILLS BLVD, SUITE 110Fayetteville, AR 72703-4007
Mailing Address12 E Appleby Rd, Clinic AdministrationFayetteville, AR 72703-3901 · (479) 463-1704 · Fax (479) 463-7864
Phone(479) 571-4338
Fax(479) 571-4015
Organization SubpartNo
Authorized OfficialDaniel R EckelsSenior Vp/cfo · (479) 463-6026
Enumeration DateApril 26, 2010
✔ NPI 1679890966 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
3211 N NORTHHILLS BLVD, Fayetteville, AR 72703
Open in Google Maps ↗

Other Names 1

Doing Business AsWalker Heart Institute Cardiovascular Clinic

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and more.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)

Walker Heart Institute Cardiovascular Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

34

Medicare enrollment records show 34 clinicians reassign Medicare billing to Walker Heart Institute Cardiovascular Clinic, which bills Medicare for the services they deliver. Of these, 22 practice at this address and 29 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 6

Nurse Practitioner20
Cardiovascular Disease (Cardiology)7
Certified Clinical Nurse Specialist (CNS)3
Interventional Cardiology2
Cardiac Electrophysiology1
Internal Medicine1

Nearest to this location (20)

See all 34
Zubair Ahmed, M.D.
Interventional Cardiology
NPI 1831386556
3211 N NORTHHILLS BLVD SUITE 110
Fayetteville, AR 72703
(479) 571-4338
✔ PECOS✔ Accepts MedicareSame address
Brandi Barnes, APN
Nurse Practitioner
NPI 1417254780
3211 N NORTHHILLS BLVD
Fayetteville, AR 72703
(479) 571-4338
✔ PECOS✔ Accepts MedicareSame address
Brandon Chism, M.D.
Cardiovascular Disease (Cardiology)
NPI 1376500108
3211 N NORTHHILLS BLVD SUITE 110
Fayetteville, AR 72703
(479) 571-4338
✔ PECOS✔ Accepts MedicareSame address
Nicole Comstock, ACNP-BC
Nurse Practitioner
NPI 1578862785
3211 N NORTHHILLS BLVD SUITE 110
Fayetteville, AR 72703
(479) 571-4338
✔ PECOS✔ Accepts MedicareSame address
Misti Pattillo, APN
Nurse Practitioner
NPI 1467494617
3211 N NORTHHILLS BLVD
Fayetteville, AR 72703
(479) 927-2100
✔ PECOS✔ Accepts MedicareSame address
Shaun Senter, MD
Cardiovascular Disease (Cardiology)
NPI 1972659480
3211 N NORTHHILLS BLVD SUITE 110
Fayetteville, AR 72703
(479) 571-4338
✔ PECOS✔ Accepts MedicareSame address
Boris Bogomilov, MD
Cardiovascular Disease (Cardiology)
NPI 1790749638
3211 N NORTHHILLS BLVD SUITE 110
Fayetteville, AR 72703
(479) 571-4338
✔ PECOS✔ Accepts MedicareSame address
Courtney Burns, APN
Certified Clinical Nurse Specialist (CNS)
NPI 1447512579
3211 N NORTHHILLS BLVD SUITE 110
Fayetteville, AR 72703
(479) 571-4338
✔ PECOS✔ Accepts MedicareSame address
Sarah Campbell, DNP, AGAC-BC
Nurse Practitioner
NPI 1043049422
3211 N NORTHHILLS BLVD
Fayetteville, AR 72703
(479) 463-8740
✔ PECOS✔ Accepts MedicareSame address
Joel Carver, M.D.
Cardiovascular Disease (Cardiology)
NPI 1558325324
3211 N NORTHHILLS BLVD SUITE 110
Fayetteville, AR 72703
(479) 571-4338
✔ PECOS✔ Accepts MedicareSame address
David Churchill
Cardiovascular Disease (Cardiology)
NPI 1023072808
3211 N NORTHHILLS BLVD SUITE 110
Fayetteville, AR 72703
(479) 571-4338
✔ PECOS✔ Accepts MedicareSame address
Laura Droke, APRN
Nurse Practitioner
NPI 1861025173
3211 N NORTHHILLS BLVD
Fayetteville, AR 72703
(479) 463-1000
✔ PECOS✔ Accepts MedicareSame address
Elizabeth Hankins, APRN
Nurse Practitioner
NPI 1922995174
3211 N NORTHHILLS BLVD
Fayetteville, AR 72703
(479) 463-8740
✔ PECOS✔ Accepts MedicareSame address
Taylor Marshall, APN
Certified Clinical Nurse Specialist (CNS)
NPI 1174890065
3211 N NORTHHILLS BLVD #110
Fayetteville, AR 72703
(479) 381-3358
✔ PECOS✔ Accepts MedicareSame address
Michelle Mcconnell, AGACNP-BC
Nurse Practitioner
NPI 1386450393
3211 N NORTHHILLS BLVD
Fayetteville, AR 72703
(479) 463-8740
✔ PECOS✔ Accepts MedicareSame address
Salik Nazir, M.D.
Interventional Cardiology
NPI 1194109249
3211 N NORTHHILLS BLVD
Fayetteville, AR 72703
(479) 463-8740
✔ PECOS✔ Accepts MedicareSame address
Justin Partin
Nurse Practitioner
NPI 1093281917
3211 N NORTHHILLS BLVD
Fayetteville, AR 72703
(479) 571-4338
✔ PECOS✔ Accepts MedicareSame address
Dawn Smedley, APRN
Nurse Practitioner
NPI 1104361864
3211 N NORTHHILLS BLVD
Fayetteville, AR 72703
(479) 571-4338
✔ PECOS✔ Accepts MedicareSame address
Robert Stauffer, MD
Internal Medicine
NPI 1265478390
3211 N NORTHHILLS BLVD
Fayetteville, AR 72703
(479) 463-8740
✔ PECOS✔ Accepts MedicareSame address
Yang Yang
Cardiac Electrophysiology
NPI 1477930295
3211 N NORTHHILLS BLVD
Fayetteville, AR 72703
(479) 463-8740
✔ PECOS✔ Accepts MedicareSame address
See all 34 clinicians

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 Waiver 04D2009846

Walker Heart Institute Cardiovascular Clinic · Fayetteville, AR
Active · expires Jul 14, 2028
CLIA Number04D2009846
Laboratory TypePhysician Office
Certificate Effective DateJuly 15, 2026
Certificate Expiration DateJuly 14, 2028
Laboratory DirectorDavid Churchill
Laboratory Phone(479) 571-4338
Laboratory LocationWalker Heart Institute Cardiovascular Clinic3211 N North Hills Blvd, Ste 110, Fayetteville, AR 72703
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Washington Regional Medical System's NPI number?

The NPI number for Washington Regional Medical System is 1679890966. It was assigned to this organization in the NPPES registry on April 26, 2010. The provider is doing business as Walker Heart Institute Cardiovascular Clinic.

Where is Washington Regional Medical System located?

Washington Regional Medical System is located at 3211 N Northhills Blvd Suite 110, Fayetteville, AR 72703. The listed phone number is (479) 571-4338.

What is Washington Regional Medical System's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Washington Regional Medical System enrolled in Medicare?

Yes. Washington Regional Medical System is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Washington Regional Medical System?

According to the CMS Revalidation Reassignment List (October 2026 release), 34 clinicians in 6 Medicare specialties reassign their Medicare billing to Washington Regional Medical System. 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 (20), Cardiovascular Disease (Cardiology) (7) and Certified Clinical Nurse Specialist (CNS) (3). Of these, 22 practice at this address and 29 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Washington Regional Medical System hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D2009846) is associated with this NPI, valid through July 14, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Washington Regional Medical System 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 Washington Regional Medical System 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 Washington Regional Medical System was last updated on April 26, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years 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.