WASHINGTON REGIONAL SENIOR CLINIC
NPI 1699731208
Clinic/Center - Multi-Specialty in Fayetteville, AR

Active since April 22, 2006
12 E APPLEBY RD, WASHINGTON REGIONAL SENIOR CLINIC, FAYETTEVILLE, AR 72703(479) 463-4444(479) 463-4499 Get Directions Write a Review

NPPES record last updated: November 16, 2009. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Washington Regional Senior Clinic NPPES

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

WASHINGTON REGIONAL SENIOR CLINIC (NPI 1699731208) is a healthcare organization registered as a multi-specialty in Fayetteville, Arkansas and active in the NPI registry since April 2006. The organization lists Daniel R Eckels, Senior Vice President/cfo, as its authorized official.

NPPES Registry Identity

NPI1699731208
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameWASHINGTON REGIONAL MEDICAL SYSTEM
Location Address12 E APPLEBY RD, WASHINGTON REGIONAL SENIOR CLINICFayetteville, AR 72703-3901
Mailing Address12 E Appleby Rd, Clinic AdministrationFayetteville, AR 72703-3901 · (479) 463-1704 · Fax (479) 463-7864
Fax(479) 463-4499
Organization SubpartNo
Authorized OfficialDaniel R EckelsSenior Vice President/cfo · (479) 463-6026
Enumeration DateApril 22, 2006
Last NPPES UpdateNovember 16, 2009
✔ NPI 1699731208 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
12 E APPLEBY RD, Fayetteville, AR 72703

Other Names 1

Doing Business AsWashington Regional Senior Clinic

Other Identifiers 2

Medicaid158990002AR
Medicare ID-Type Unspecified5F342AR

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Washington Regional Senior Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateArkansasEnrollment IDO20050912001236Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

17

Medicare enrollment records show 17 clinicians reassign Medicare billing to Washington Regional Senior Clinic, which bills Medicare for the services they deliver. Of these, 13 practice at this address and 16 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 6

Nurse Practitioner8
Geriatric Medicine3
Clinical Psychologist2
Neurology2
Certified Clinical Nurse Specialist (CNS)1
Internal Medicine1

Clinicians, nearest first (17)

Clinical Psychologist
NPI 1740246784
12 E APPLEBY RD SUITE 101
Fayetteville, AR 72703
(479) 463-4444
✔ PECOS✔ Accepts MedicareSame address
Neurology
NPI 1831149020
12 E APPLEBY RD SUITE 101
Fayetteville, AR 72703
(479) 463-4444
✔ PECOS✔ Accepts MedicareSame address
Clinical Psychologist
NPI 1508816422
12 E APPLEBY RD STE 101
Fayetteville, AR 72703
(479) 463-4444
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1215972252
12 E APPLEBY RD STE 101
Fayetteville, AR 72703
(479) 463-4444
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1114385374
12 E APPLEBY RD SUITE 101
Fayetteville, AR 72703
(479) 463-4444
✔ PECOSSame address
Nurse Practitioner
NPI 1710943659
12 E APPLEBY RD STE 101
Fayetteville, AR 72703
(479) 463-4444
✔ PECOS✔ Accepts MedicareSame address
Geriatric Medicine
NPI 1912957820
12 E APPLEBY RD STE 101
Fayetteville, AR 72703
(479) 463-4444
✔ PECOS✔ Accepts MedicareSame address
Geriatric Medicine
NPI 1538119458
12 E APPLEBY RD STE 101
Fayetteville, AR 72703
(479) 463-4444
✔ PECOS✔ Accepts MedicareSame address
Geriatric Medicine
NPI 1598765208
12 E APPLEBY RD STE 101
Fayetteville, AR 72703
(479) 463-4444
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1457114274
12 E APPLEBY RD
Fayetteville, AR 72703
(479) 463-4444
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1043255128
12 E APPLEBY SUITE 101
Fayetteville, AR 72703
(479) 463-4444
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1659448868
12 E APPLEBY RD STE 101
Fayetteville, AR 72703
(479) 463-4444
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1316959216
12 E APPLEBY SUITE 101
Fayetteville, AR 72703
(479) 463-4444
✔ PECOS✔ Accepts MedicareSame address
Certified Clinical Nurse Specialist (CNS)
NPI 1073745873
12 E APPLEBY RD SUITE 101
Fayetteville, AR 72703
(479) 463-4444
✔ PECOS✔ Accepts Medicare0.2 mi
Neurology
NPI 1063409993
3336 N FUTRALL DR
Fayetteville, AR 72703
(479) 463-3000
✔ PECOS✔ Accepts Medicare0.2 mi
Nurse Practitioner
NPI 1922777051
1125 N COLLEGE AVE
Fayetteville, AR 72703
(479) 344-3313
✔ PECOS✔ Accepts Medicare2.1 mi
Nurse Practitioner
NPI 1043629900
2000 S 42ND ST STE 100
Rogers, AR 72758
(479) 273-9173
✔ PECOS14 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 Washington Regional Medical System's NPI number?

The NPI number for Washington Regional Medical System is 1699731208. It was assigned to this organization in the NPPES registry on April 22, 2006. The provider is doing business as Washington Regional Senior Clinic.

Where is Washington Regional Medical System located?

Washington Regional Medical System is located at 12 E Appleby Rd Washington Regional Senior Clinic, Fayetteville, AR 72703. The listed phone number is (479) 463-4444.

What is Washington Regional Medical System's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Is Washington Regional Medical System enrolled in Medicare?

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

When is Washington Regional Medical System's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Arkansas, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Washington Regional Medical System?

According to the CMS Revalidation Reassignment List (October 2026 release), 17 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 (8), Geriatric Medicine (3) and Clinical Psychologist (2). Of these, 13 practice at this address and 16 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 November 16, 2009. 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.