BOYETTE FACIAL PLASTIC SURGERY, PA
NPI 1689021420
Surgery - Plastic and Reconstructive Surgery in Little Rock, AR

Q: What is Boyette Facial Plastic Surgery, PA's NPI number?

The NPI number for Boyette Facial Plastic Surgery, PA is 1689021420. It was assigned to this organization in the NPPES registry on May 23, 2016.

Q: What is Boyette Facial Plastic Surgery, PA's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Active since May 23, 2016

9601 LILE DR., MEDICAL TOWERS BUILDING 1, SUITE 970B, LITTLE ROCK, AR 72205(501) 205-8610(501) 205-8610 Get Directions Write a Review

NPPES record last updated: May 23, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Boyette Facial Plastic Surgery, Pa NPPES

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

BOYETTE FACIAL PLASTIC SURGERY, PA (NPI 1689021420) is a healthcare organization registered as a plastic and reconstructive surgery in Little Rock, Arkansas and active in the NPI registry since May 2016. The organization lists Jennings Russell Boyette, Owner, as its authorized official.

NPPES Registry Identity

NPI1689021420

Entity TypeOrganization

Primary Taxonomy2086S0122X

Legal Business NameBOYETTE FACIAL PLASTIC SURGERY, PA

Location Address9601 LILE DR., MEDICAL TOWERS BUILDING 1, SUITE 970BLittle Rock, AR 72205-6321

Mailing AddressPo Box 241212Little Rock, AR 72223-0004 · (501) 205-8610 · Fax (501) 205-8610

Phone(501) 205-8610

Fax(501) 205-8610

Organization SubpartNo

Authorized OfficialJennings Russell BoyetteOwner · (501) 205-8610

Enumeration DateMay 23, 2016

✔ NPI 1689021420 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0122X

License✔ Licensed in AR · E-7894

Definition

A surgeon who specializes in plastic and reconstructive surgery.

9601 LILE DR., Little Rock, AR 72205

Open in Google Maps ↗

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

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)

Boyette Facial Plastic Surgery, Pa 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 Boyette Facial Plastic Surgery, PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jennings Boyette, MD

Plastic and Reconstructive Surgery

NPI 1922216084

11412 HURON LN
Little Rock, AR 72211

(501) 302-1402

✔ PECOS✔ Accepts Medicare1.8 mi

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 Boyette Facial Plastic Surgery, PA's NPI number?

The NPI number for Boyette Facial Plastic Surgery, PA is 1689021420. It was assigned to this organization in the NPPES registry on May 23, 2016.

Where is Boyette Facial Plastic Surgery, PA located?

Boyette Facial Plastic Surgery, PA is located at 9601 Lile Dr. Medical Towers Building 1, Suite 970B, Little Rock, AR 72205. The listed phone number is (501) 205-8610.

What is Boyette Facial Plastic Surgery, PA's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Is Boyette Facial Plastic Surgery, PA enrolled in Medicare?

Yes. Boyette Facial Plastic Surgery, PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Boyette Facial Plastic Surgery, PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Plastic and Reconstructive Surgery) reassigns their Medicare billing to Boyette Facial Plastic Surgery, PA. 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.

What insurance does Boyette Facial Plastic Surgery, PA 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 Boyette Facial Plastic Surgery, PA 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 Boyette Facial Plastic Surgery, PA was last updated on May 23, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.