WASHINGTON REGIONAL URGENT CARE
NPI 1700297033
General Practice in Fayetteville, AR
About Washington Regional Urgent Care NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WASHINGTON REGIONAL URGENT CARE (NPI 1700297033) is a healthcare organization registered as a general practice in Fayetteville, Arkansas and active in the NPI registry since May 2014. The organization holds a CLIA Waiver certificate valid through September 7, 2027 and lists James Shackelford, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
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 Urgent Care is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 2027
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.
Clinicians Billing Medicare Through This Organization
106Medicare enrollment records show 106 clinicians reassign Medicare billing to Washington Regional Urgent Care, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 67 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 18
Nearest to this location (20)
See all 106Fayetteville, AR 72703
Fayetteville, AR 72703
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 04D2235261
Washington Regional Urgent Care-Fayetteville Urgent Team Of Arkansas Physicians LLC · Fayetteville, ARFrequently 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 1700297033. It was assigned to this organization in the NPPES registry on May 8, 2014. The provider is doing business as Washington Regional Urgent Care.
Where is Washington Regional Medical System located?
Washington Regional Medical System is located at 3 E. Appleby Road Suite 101, Fayetteville, AR 72703. The listed phone number is (479) 404-1010.
What is Washington Regional Medical System's specialty?
The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.
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 January 31, 2027. 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), 106 clinicians in 18 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 (31), Family Practice (21) and General Surgery (12). Of these, 1 practice at this address and 67 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 04D2235261) is associated with this NPI, valid through September 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Washington Regional Medical System was last updated on January 24, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Washington Regional Urgent Care · NPI 1700297033
General Practice organization in Fayetteville, Arkansas. Organization record, active in the CMS NPPES registry since May 8, 2014.
## Identity
- **NPI:** 1700297033 (Entity type: Organization)
- **Enumerated:** May 8, 2014
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **Legal business name:** Washington Regional Medical System
- **Organization subpart:** No
- **Authorized official:** James Shackelford, CEO
## Practice location
- **Address:** 3 E. APPLEBY ROAD, SUITE 101, Fayetteville, AR 72703
- **Phone:** (479) 404-1010 · **Fax:** (479) 404-1011
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, Arkansas, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 106 clinicians in 18 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (31), Family Practice (21), General Surgery (12); 1 practice at this address and 67 within 10 miles; [full list](https://npiprofile.com/npi/1700297033/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 24, 2018
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1700297033) · Data from the CMS NPPES public registry.